MATT DOUGLAS (P.A.) – Physician Assistant, NPI 1750354643
Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
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Provider Addresses for MATT DOUGLAS (P.A.)
North Waldron Street, Hutchinson, Reno County, Kansas, 67504, United States
HUTCHINSON, KS 675021131
Phone: (620) 669-2500
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 57 Open Payments records for all available years, with a total value of $914.
Total Amount is formed as General ($914) + Research ($0) + Ownership ($0) = $914.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Abbott Laboratories ($323).
Total Amount
$914
General + Research + Ownership
Payments
57
Total payment records
General Amount
$914
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-05-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050531000585 | I | Physician Assistant | KS | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,425 | 903 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 675 | 295 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 249 | 222 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 216 | 195 | $0 |
| 93017 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) | 202 | 201 | $0 |
Insurance plans in this area (ZIP 67502)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| Nurse Practitioner | KS | |
| R H E U M A T O L O G Y | KS | |
| H E M A T O L O G Y/ O N C O L O G Y | KS | |
| Physician Assistant | KS | |
| - | KS | |
| Gastroenterology, Internal Medicine | KS | |
| D E R M A T O L O G Y | KS | |
| Physician Assistant | KS | |
| Physical Therapist In Private Practice | KS |
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