MR. MATTHEW TIMOTHY PORTER (M.D.) – Family Medicine Physician, NPI 1477791606
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
160 GENERAL PRACTICE in MO
Provider Addresses for MR. MATTHEW TIMOTHY PORTER (M.D.)
1081 E 18TH ST
ROLLA, MO 654013398
Phone: (573) 426-6712
Fax: (573) 426-6723
Type: Location
Tara Day Spa, 1081, East 18th Street, Rolla, Phelps County, Missouri, 65401, United States
PO BOX 458
ROLLA, MO 654018115
Phone: (573) 426-6712
Fax: (573) 426-6723
Type: Mailing
831, Laurel Drive, Rolla, Phelps County, Missouri, 65401, United States
ROLLA, MO 654013841
Phone: (573) 596-1765
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $292.
Total Amount is formed as General ($292) + Research ($0) + Ownership ($0) = $292.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Braeburn Inc. ($61).
Total Amount
$292
General + Research + Ownership
Payments
16
Total payment records
General Amount
$292
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braeburn Inc. | $61 |
| Gilead Sciences, Inc. | $40 |
| ABBVIE INC. | $33 |
| Indivior Inc. | $28 |
| Amgen Inc. | $25 |
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: 2016-10-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161018002934 | I | General Practice | MO | 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 |
|---|---|---|---|---|
| 83037 | Hemoglobin a1c level, by device for home use | 34 | 24 | $0 |
Insurance plans in this area (ZIP 65401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | IL | |
| Family Practice | MO | |
| Nurse Practitioner | MO |
Reviews
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