PAUL MATTER – Critical Care Medicine Registered Nurse, NPI 1477296556

PAUL MATTER is a healthcare provider. based in Macomb, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 209025407 (IL). The NPI Number for PAUL MATTER is 1477296556

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
PAUL MATTER
NPI
1477296556
Phone
Not provided
Address
16928 BOULDER WAY
Enumeration Date
18 April 2022
Last Update Date
21 March 2024

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
7084226200
Graduation Year
2022 (4 years ago)
PAC ID
4284017138
Group Practice PAC ID
1052576519
Professional Enrollment ID
I20220810002404
Address ID
IL608052701EV2800XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for PAUL MATTER

  • 16928 BOULDER WAY

    MACOMB, MI 480423516

    Phone:

    Type: Mailing

  • 4309 W MEDICAL CENTER DR STE A201

    MCHENRY, IL 600508411

    Phone: (815) 385-0084

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $120.

Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($113).

Total Amount

$120

General + Research + Ownership

Payments

6

Total payment records

General Amount

$120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

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: 2022-08-10

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
I20220810002404ICertified Registered Nurse Anesthetist (Crna)ILTBD

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 endoscope2727$0
00813Anesthesia for procedure on small and large bowel using an endoscope2020$0
01922Anesthesia for x-ray or radiation therapy1918$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1716$0
00840Anesthesia for other procedure on lower abdomen1212$0
View full utilization report →

Insurance plans in this area (ZIP 48042)

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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: 1052576519View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIA
-IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MO
-IL
Certified Registered Nurse Anesthetist (Crna)IL
-IL
Certified Registered Nurse Anesthetist (Crna)VA

Reviews

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Frequently asked questions

What number should I use to identify PAUL MATTER for billing?
Administrative and clinical systems typically use NPI 1477296556 for PAUL MATTER.
Should I treat PAUL MATTER as an active provider?
Patients and plans typically see PAUL MATTER as active in the national extract.
How should patients interpret PAUL MATTER's specialty?
The extract shows Critical Care Medicine Registered Nurse for PAUL MATTER. Clinical services aligned with this taxonomy classification.
Which community is linked to PAUL MATTER?
PAUL MATTER shows a connection to Macomb, Michigan in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.