DR. JACQUELINE R MATAR (M.D.) – Radiation Oncology Physician, NPI 1811998578

DR. JACQUELINE R MATAR (M.D.) is a healthcare provider. based in Lexington, Kentucky. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 24630 (KY). The NPI Number for DR. JACQUELINE R MATAR (M.D.) is 1811998578

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACQUELINE R MATAR (M.D.)
NPI
1811998578
Phone
(859) 277-9436
Address
870 CORPORATE DR
Enumeration Date
3 August 2005
Last Update Date
30 January 2013

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
6065231934
Graduation Year
1985 (41 years ago)
PAC ID
0840180519
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20040831001394
Address ID
KY407018420CO1XXXXWAYX300
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

98 RADIATION ONCOLOGY in KY

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Provider Addresses for DR. JACQUELINE R MATAR (M.D.)

  • 870, Corporate Drive, Pasadena, Indian Hills, Lexington, Fayette County, Kentucky, 40503, United States

    STE. 400

    LEXINGTON, KY 405035416

    Phone: (859) 277-9436

    Type: Mailing

  • 701, Bob-O-Link Drive, Headly Green, Lexington, Fayette County, Kentucky, 40504, United States

    SUITE 120

    LEXINGTON, KY 405043759

    Phone: (859) 277-3737

    Fax: (859) 277-3765

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2004-08-31

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040831001394IRadiation OncologyKYTBD

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 40503)

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Provider's Procedures

DR. JACQUELINE R MATAR (M.D.) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYKY77263Management of radiation therapy, complex4038
RADIATION ONCOLOGYKY77427Radiation treatment management, 5 treatments4619

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: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JACQUELINE R MATAR (M.D.)?
DR. JACQUELINE R MATAR (M.D.) — NPI 1811998578 — is the standard way to identify this listing.
Does CMS list DR. JACQUELINE R MATAR (M.D.) as active?
Yes — DR. JACQUELINE R MATAR (M.D.) is active in the NPI listing used on this page.
What is DR. JACQUELINE R MATAR (M.D.) best known for clinically?
Directory data describes DR. JACQUELINE R MATAR (M.D.) with Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JACQUELINE R MATAR (M.D.)?
DR. JACQUELINE R MATAR (M.D.)'s geographic hint is Lexington, Kentucky in our summary view.
Is the information about DR. JACQUELINE R MATAR (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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