MR. ROBERT YOUNG MATLOCK (CRNA) – Critical Care Medicine Registered Nurse, NPI 1861062457

MR. ROBERT YOUNG MATLOCK (CRNA) is a healthcare provider. based in Chicago, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2024028765 (MO). The NPI Number for MR. ROBERT YOUNG MATLOCK (CRNA) is 1861062457

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MR. ROBERT YOUNG MATLOCK (CRNA)
NPI
1861062457
Phone
(800) 862-9980
Address
PO BOX 7412011
Enumeration Date
28 June 2021
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3147473000
Graduation Year
2023 (3 years ago)
PAC ID
3678931573
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20240911004594
Address ID
MO631101003SA1XXXXPLZX500

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

Provider Addresses for MR. ROBERT YOUNG MATLOCK (CRNA)

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Mailing

  • 1 BARNES JEWISH HOSPITAL PLZ

    DEPT ANESTHESIOLOGY

    SAINT LOUIS, MO 631101003

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Location

  • 1106 WOODWARD AVE

    MONTGOMERY, AL 361062020

    Phone: (530) 400-8104

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-08-02 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($77).

Total Amount

$116

General + Research + Ownership

Payments

7

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230626001667ICertified Registered Nurse Anesthetist (Crna)ALTBD
I20240911004594ICertified Registered Nurse Anesthetist (Crna)MOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope2121$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 60674)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830008770View full group profile

Reviews

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Frequently asked questions

Where can patients find MR. ROBERT YOUNG MATLOCK (CRNA)'s NPI?
You can confirm MR. ROBERT YOUNG MATLOCK (CRNA) with NPI 1861062457; it appears in the national provider directory.
Does this profile mean MR. ROBERT YOUNG MATLOCK (CRNA) is currently active?
Yes — MR. ROBERT YOUNG MATLOCK (CRNA) appears active in the national provider directory.
Can you summarize MR. ROBERT YOUNG MATLOCK (CRNA)'s specialty in plain language?
Clinically, the directory lists MR. ROBERT YOUNG MATLOCK (CRNA) with Critical Care Medicine Registered Nurse. Clinical services aligned with this taxonomy classification.
What location shows for MR. ROBERT YOUNG MATLOCK (CRNA)?
We surface Chicago, Illinois for MR. ROBERT YOUNG MATLOCK (CRNA) based on available NPPES addresses.
What if Chicago, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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