ERIC V. A. MATLOCK (D.O.) – Family Medicine Physician, NPI 1093788762

ERIC V. A. MATLOCK (D.O.) is a healthcare provider. based in Washington, Missouri. specializing in FAMILY PRACTICE, HOSPITALIST. They hold the professional credentials D.O.. They hold a License No. 2005011343 (MO). The NPI Number for ERIC V. A. MATLOCK (D.O.) is 1093788762

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
ERIC V. A. MATLOCK (D.O.)
NPI
1093788762
Phone
(636) 239-8231
Address
901 E 5TH ST
Enumeration Date
10 February 2006
Last Update Date
12 September 2014

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
3149250903
Graduation Year
2002 (24 years ago)
PAC ID
9234169194
Group Practice PAC ID
1557687803
Professional Enrollment ID
I20050819000602
Address ID
MO630213309BA1XXXXDRXX400
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

2,330 FAMILY PRACTICE in MO

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Provider Addresses for ERIC V. A. MATLOCK (D.O.)

  • 901, 5th Street, Creekside, Kalona, Washington County, Iowa, 52247, United States

    MEDICAL STAFF OFFICE

    WASHINGTON, MO 630903127

    Phone: (636) 239-8231

    Fax: (636) 239-9890

    Type: Location

  • PO BOX 502852

    SAINT LOUIS, MO 631502852

    Phone: (314) 364-4200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-08-19

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
I20050819000602IFamily PracticeMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes350156$0
99238Hospital discharge day management, 30 minutes or less9087$0
99239Hospital discharge day management, more than 30 minutes6968$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3939$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 63090)

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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: 1557687803View full group profile
NameSpecialtyState
Nurse PractitionerMO
Internal MedicineIL
Internal MedicineMI
Nurse PractitionerIL
Hospitalist, Internal MedicineMO
Nurse PractitionerMO
Internal MedicineMO

Reviews

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Frequently asked questions

Can I cross-check ERIC V. A. MATLOCK (D.O.) using NPI 1093788762?
NPI 1093788762 belongs to ERIC V. A. MATLOCK (D.O.); compare other details if you need extra assurance.
Is ERIC V. A. MATLOCK (D.O.) shown as active in public data?
Registry records indicate ERIC V. A. MATLOCK (D.O.) maintains an active NPI.
What clinical focus is listed for ERIC V. A. MATLOCK (D.O.)?
At a glance, ERIC V. A. MATLOCK (D.O.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ERIC V. A. MATLOCK (D.O.) located near Washington?
ERIC V. A. MATLOCK (D.O.) currently maps to Washington, Missouri in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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