MATTHEW A TANNER – Physician Assistant, NPI 1194380501

MATTHEW A TANNER is a healthcare provider. based in Hazel, Kentucky. specializing in PHYSICIAN ASSISTANT. The NPI Number for MATTHEW A TANNER is 1194380501

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW A TANNER
NPI
1194380501
Phone
(859) 285-7336
Address
3276 MURRAY PARIS RD
Enumeration Date
1 May 2019
Last Update Date
31 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7315415000
Graduation Year
2019 (7 years ago)
PAC ID
8527483668
Group Practice PAC ID
3971781006
Professional Enrollment ID
I20200916002427
Address ID
TN383013923JA620XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:7State licenses:0Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for MATTHEW A TANNER

  • 3276 MURRAY PARIS RD

    HAZEL, KY 420498403

    Phone: (859) 285-7336

    Type: Mailing

  • 3276 Murray Paris Rd

    Hazel, KY 420498403

    Phone: (859) 285-7336

    Type: Location

  • Charlotte Avenue, Nashville, Davidson County, Tennessee, 37209, United States

    NASHVILLE, TN 372032032

    Phone: (615) 321-3277

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 194 Open Payments records for all available years, with a total value of $3,548.

Total Amount is formed as General ($3,548) + Research ($0) + Ownership ($0) = $3,548.

Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Amgen Inc. ($573).

Total Amount

$3,548

General + Research + Ownership

Payments

194

Total payment records

General Amount

$3,548

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-31

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: 2020-09-16

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
I20200916002427IPhysician AssistantTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42049)

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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: 3971781006View full group profile
NameSpecialtyState
Vascular Surgery, General SurgeryMD
G A S T R O E N T E R O L O G YAL
Family PracticeTN
Nurse PractitionerTN
Internal Medicine, GastroenterologyTN
Obstetrics/Gynecology, Family PracticeTN
-TN
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists), Critical Care (Intensivists)AL
Physician AssistantTN
N E U R O L O G YWV

Reviews

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Frequently asked questions

What identifier follows MATTHEW A TANNER across health systems?
The NPI 1194380501 uniquely identifies MATTHEW A TANNER in U.S. healthcare data.
Quick check: is MATTHEW A TANNER active?
Public NPPES data shows MATTHEW A TANNER with an active NPI status right now.
What services align with MATTHEW A TANNER's listing?
MATTHEW A TANNER's public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to MATTHEW A TANNER?
The directory associates MATTHEW A TANNER with Hazel, Kentucky. Check all listed addresses for suites or satellite offices.
Why is information missing for MATTHEW A TANNER?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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