DR. MATTHEW TYLER RADDUE (M.D.) – Anesthesiology Physician, NPI 1053504159

DR. MATTHEW TYLER RADDUE (M.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in Anesthesiology Physician. They hold the professional credentials M.D.. They hold a License No. 12733 (NV). The NPI Number for DR. MATTHEW TYLER RADDUE (M.D.) is 1053504159

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW TYLER RADDUE (M.D.)
NPI
1053504159
Phone
(702) 332-2730
Address
2931 N TENAYA WAY
Enumeration Date
22 August 2007
Last Update Date
25 July 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7028778660
Graduation Year
2004 (22 years ago)
PAC ID
0244390672
Group Practice PAC ID
4981687779
Professional Enrollment ID
I20081114000746
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MATTHEW TYLER RADDUE (M.D.)

  • North Tenaya Way, Las Vegas, Clark County, Nevada, 89128, United States

    SUITE 102

    LAS VEGAS, NV 891280456

    Phone: (702) 332-2730

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $1,123.

Total Amount is formed as General ($1,123) + Research ($0) + Ownership ($0) = $1,123.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Boston Scientific Corporation ($708).

Total Amount

$1,123

General + Research + Ownership

Payments

22

Total payment records

General Amount

$1,123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

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: 2024-08-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20081114000746IAnesthesiologyNVTBD
I20240827003633IAnesthesiologyAZTBD

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
01992Anesthesia for nerve block and injection procedure, prone position7948$0
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance5646$0
00630Anesthesia for other procedure on lower spine4740$0
01937Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance1612$0
01942Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance1313$0
View full utilization report →

Insurance plans in this area (ZIP 89128)

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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: 4981687779View full group profile
NameSpecialtyState
Family PracticeTX
Internal MedicineNV
Physician AssistantNV
-KY
-NV
Nurse PractitionerNV
O B S T E T R I C S/ G Y N E C O L O G YNV
Nurse PractitionerIL
Physician AssistantNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

How do payers reference DR. MATTHEW TYLER RADDUE (M.D.)?
For DR. MATTHEW TYLER RADDUE (M.D.), use NPI 1053504159 as the unique 10-digit identifier.
Active or inactive — what applies to DR. MATTHEW TYLER RADDUE (M.D.)?
You should see DR. MATTHEW TYLER RADDUE (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. MATTHEW TYLER RADDUE (M.D.)'s focus?
For DR. MATTHEW TYLER RADDUE (M.D.), the primary taxonomy reads as Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where in Nevada is DR. MATTHEW TYLER RADDUE (M.D.) registered?
Use Las Vegas, Nevada as the headline location for DR. MATTHEW TYLER RADDUE (M.D.) here.
Can I trust this NPI listing for DR. MATTHEW TYLER RADDUE (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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