MATTHEW HOLBROOK (PA C) – Physician Assistant, NPI 1174578892

MATTHEW HOLBROOK (PA C) is a healthcare provider. based in Whitesburg, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA C. They hold a License No. PA808 (KY). The NPI Number for MATTHEW HOLBROOK (PA C) is 1174578892

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW HOLBROOK (PA C)
NPI
1174578892
Phone
(606) 633-4871
Address
226 Medical Plaza Lane
Enumeration Date
23 May 2006
Last Update Date
31 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6064762593
Graduation Year
2003 (23 years ago)
PAC ID
5496749350
Group Practice PAC ID
7618875873
Professional Enrollment ID
I20040413000963
Address ID
KY417318749CO464XX699X400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for MATTHEW HOLBROOK (PA C)

  • 226 Medical Plaza Lane

    Whitesburg, KY 41858

    Phone: (606) 633-4871

    Fax: (606) 633-0883

    Type: Location

  • Whitesburg, Letcher County, Kentucky, United States

    WHITESBURG, KY 41858

    Phone: (606) 633-4823

    Fax: (606) 633-1874

    Type: Mailing

  • 464 KY HIGHWAY 699

    CORNETTSVILLE, KY 417318749

    Phone: (606) 476-2593

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $156.

Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($39).

Total Amount

$156

General + Research + Ownership

Payments

9

Total payment records

General Amount

$156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

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: 2004-04-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040413000963IPhysician AssistantKYTBD

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
83735Magnesium level9760$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test9557$0
80048Blood test, basic group of blood chemicals (calcium, total)9055$0
80061Blood test, lipids (cholesterol and triglycerides)8856$0
80076Liver function blood test panel8452$0
View full utilization report →

Insurance plans in this area (ZIP 41858)

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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: 7618875873View full group profile
NameSpecialtyState
Nurse PractitionerKY
Internal MedicineKY
Nurse PractitionerKY
Pulmonary DiseaseKY
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
Clinical Social WorkerKY

Reviews

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Frequently asked questions

What unique ID ties claims to MATTHEW HOLBROOK (PA C)?
NPI 1174578892 is assigned to MATTHEW HOLBROOK (PA C) under the national enumeration system.
Is MATTHEW HOLBROOK (PA C)'s NPI currently valid?
The extract we use shows MATTHEW HOLBROOK (PA C) as active.
What kind of provider is MATTHEW HOLBROOK (PA C)?
The page reflects Physician Assistant for MATTHEW HOLBROOK (PA C). Clinical services aligned with this taxonomy classification.
Where is MATTHEW HOLBROOK (PA C)'s primary listing?
We display Whitesburg, Kentucky because that is what the record indicates for MATTHEW HOLBROOK (PA C).
Is MATTHEW HOLBROOK (PA C) a real provider?
This page reflects official NPPES data for NPI 1174578892. Always confirm identity and privileges with the practice and licensing boards.

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