DR. MATTHEW R HARRIS (DO) – Family Medicine Physician, NPI 1134105968

DR. MATTHEW R HARRIS (DO) is a healthcare provider. based in Newark, Ohio. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. 34.008347 (OH). The NPI Number for DR. MATTHEW R HARRIS (DO) is 1134105968

Main info

Male
24 Years Of Experience
Name
DR. MATTHEW R HARRIS (DO)
NPI
1134105968
Phone
(220) 564-1778
Address
1272 W MAIN ST STE 503
Enumeration Date
22 December 2005
Last Update Date
20 February 2017

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6145341100
Graduation Year
2002 (24 years ago)
PAC ID
5395786230
Group Practice PAC ID
7810237666
Professional Enrollment ID
I20050520000271
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

Provider Addresses for DR. MATTHEW R HARRIS (DO)

  • 1272 W MAIN ST STE 503

    NEWARK, OH 430552058

    Phone: (220) 564-1778

    Fax: (220) 564-1779

    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)

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: 2005-05-20

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
I20050520000271IFamily PracticeOHTBD

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
80307Testing for presence of drug, by chemistry analyzers4511$0
View full utilization report →

Insurance plans in this area (ZIP 43055)

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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: 7810237666View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerFL
Clinical Social WorkerOH
Addiction Medicine, Pain ManagementOH
N E U R O L O G YOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do I look up DR. MATTHEW R HARRIS (DO) by NPI?
Use NPI 1134105968 when you need to reference DR. MATTHEW R HARRIS (DO) in forms, claims, or directories.
Is DR. MATTHEW R HARRIS (DO) active in the national directory?
DR. MATTHEW R HARRIS (DO)'s public NPI profile is in an active state.
Does DR. MATTHEW R HARRIS (DO) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. MATTHEW R HARRIS (DO). Clinical services aligned with this taxonomy classification.
Does DR. MATTHEW R HARRIS (DO) practice in Ohio?
You will see Newark, Ohio on file for DR. MATTHEW R HARRIS (DO) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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