DR. DAVID LEE MATLOCK (M.D.) – Emergency Medicine Physician, NPI 1356543706
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,351 EMERGENCY MEDICINE in MO
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Provider Addresses for DR. DAVID LEE MATLOCK (M.D.)
PO BOX 504274
SAINT LOUIS, MO 631504274
Phone: (417) 820-6128
Type: Mailing
Mercy Hospital Springfield, 1235, East Cherokee Street, Meador Park, Springfield, Greene County, Missouri, 65804, United States
SPRINGFIELD, MO 658042203
Phone: (417) 820-2115
Fax: (417) 820-5344
Type: Location
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: 2025-11-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120213000400 | I | Emergency Medicine | MO | TBD |
| I20230726003774 | I | Emergency Medicine | CO | TBD |
| I20230831002575 | I | Emergency Medicine | KS | TBD |
| I20240214003537 | I | Emergency Medicine | CA | TBD |
| I20250710003613 | I | Emergency Medicine | OK | TBD |
| I20250828002153 | I | Emergency Medicine | MD | TBD |
| I20250828002516 | I | Emergency Medicine | DC | TBD |
| I20251125001447 | I | Emergency Medicine | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 64 | 53 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 53 | 53 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 29 | 29 | $0 |
| 99291 | Critical care, first 30-74 minutes | 22 | 21 | $0 |
Insurance plans in this area (ZIP 63150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CO | |
| Emergency Medicine | CA | |
| - | OH | |
| Emergency Medicine | CO | |
| Emergency Medicine | CA | |
| Emergency Medicine | CO | |
| Family Practice | KS | |
| - | OK | |
| Emergency Medicine | LA | |
| Emergency Medicine | CA |
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