DR. PHILIP ALEXANDER MATAVERDE (D.O.) – Sleep Medicine (Internal Medicine) Physician, NPI 1992996458

DR. PHILIP ALEXANDER MATAVERDE (D.O.) is a healthcare provider. based in Osage beach, Missouri. specializing in SLEEP MEDICINE. They hold the professional credentials D.O.. They hold a License No. L1865858 (MI). The NPI Number for DR. PHILIP ALEXANDER MATAVERDE (D.O.) is 1992996458

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP ALEXANDER MATAVERDE (D.O.)
NPI
1992996458
Phone
(573) 302-2715
Address
54 Hospital Dr Ste G
Enumeration Date
8 August 2007
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2693240799
Graduation Year
2007 (19 years ago)
PAC ID
6507022043
Group Practice PAC ID
0244148633
Professional Enrollment ID
I20200818002038
Address ID
MI490154187BA2845XSWXX402
Telehealth
Yes

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness85
Years active:18State licenses:3Other namesUpdated within 12 months

84 SLEEP MEDICINE in MO

Provider Addresses for DR. PHILIP ALEXANDER MATAVERDE (D.O.)

  • 54 Hospital Dr Ste G

    Osage Beach, MO 650653050

    Phone: (573) 302-2715

    Fax: (573) 302-2713

    Type: Location

  • 203, West Centre Avenue, Portage, Kalamazoo County, Michigan, 49024, United States

    PORTAGE, MI 490244889

    Phone: (269) 349-9745

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $1,353.

Total Amount is formed as General ($1,353) + Research ($0) + Ownership ($0) = $1,353.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($486).

Total Amount

$1,353

General + Research + Ownership

Payments

49

Total payment records

General Amount

$1,353

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2020-08-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200818002038ISleep MedicineMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9994$0
99214Established patient office or other outpatient visit, 30-39 minutes6358$0
99215Established patient office or other outpatient visit, 40-54 minutes6051$0
99204New patient office or other outpatient visit, 45-59 minutes5757$0
95800Sleep study including heart rate, breathing, and sleep time5351$0
View full utilization report →

Insurance plans in this area (ZIP 65065)

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Provider's Procedures

DR. PHILIP ALEXANDER MATAVERDE (D.O.) performs procedures in SLEEP MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
SLEEP MEDICINEMO95811Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube195179

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: 0244148633View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Hand Surgery, Orthopedic SurgeryMI
Physician AssistantMI
Physician AssistantMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Family PracticeMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Endocrinology, Internal MedicineMI
Clinical Social WorkerMI
Internal MedicineMI

Reviews

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Frequently asked questions

How do payers reference DR. PHILIP ALEXANDER MATAVERDE (D.O.)?
For DR. PHILIP ALEXANDER MATAVERDE (D.O.), use NPI 1992996458 as the unique 10-digit identifier.
Active or inactive — what applies to DR. PHILIP ALEXANDER MATAVERDE (D.O.)?
You should see DR. PHILIP ALEXANDER MATAVERDE (D.O.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. PHILIP ALEXANDER MATAVERDE (D.O.)?
DR. PHILIP ALEXANDER MATAVERDE (D.O.)'s specialty line reads Sleep Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. PHILIP ALEXANDER MATAVERDE (D.O.)?
Directory geography for DR. PHILIP ALEXANDER MATAVERDE (D.O.) centers on Osage Beach, Missouri.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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