MATTHEW RAY WHITTAKER (DO) – Emergency Medicine Physician, NPI 1043873706

MATTHEW RAY WHITTAKER (DO) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 7054 (OK). The NPI Number for MATTHEW RAY WHITTAKER (DO) is 1043873706

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW RAY WHITTAKER (DO)
NPI
1043873706
Phone
(405) 636-7195
Address
4401 S WESTERN AVE
Enumeration Date
18 April 2019
Last Update Date
24 October 2020

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2545592241
Graduation Year
2019 (7 years ago)
PAC ID
0840601795
Group Practice PAC ID
7810117223
Professional Enrollment ID
I20211013001767
Address ID
TX764244702BR200XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

747 EMERGENCY MEDICINE in OK

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Provider Addresses for MATTHEW RAY WHITTAKER (DO)

  • INTEGRIS Southwest Medical Center, 4401, South Western Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73109, United States

    OKLAHOMA CITY, OK 731093413

    Phone: (405) 636-7195

    Fax: (405) 979-8459

    Type: Location

  • 408, South Chestnut Avenue, Broken Arrow, Tulsa County, Oklahoma, 74012, United States

    BROKEN ARROW, OK 740123407

    Phone: (918) 706-1011

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2023-05-12 • Largest payer in this snapshot: Stryker Corporation ($89).

Total Amount

$89

General + Research + Ownership

Payments

2

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$89
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: 2021-10-13

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
I20211013001767IEmergency MedicineTXTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5143$0
99284Emergency department visit with moderate level of medical decision making4139$0
99285Emergency department visit with high level of medical decision making3433$0
99291Critical care, first 30-74 minutes2721$0
View full utilization report →

Insurance plans in this area (ZIP 73109)

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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: 7810117223View full group profile
NameSpecialtyState
Emergency MedicineTX
-TX
Family PracticeTX
Family PracticeOK
-TX
-TX
Physician AssistantTX
-TX
Family Practice, Emergency MedicineTX
Colorectal Surgery (Proctology), General SurgeryTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for MATTHEW RAY WHITTAKER (DO)?
MATTHEW RAY WHITTAKER (DO) — NPI 1043873706 — is the standard way to identify this listing.
Does CMS list MATTHEW RAY WHITTAKER (DO) as active?
Yes — MATTHEW RAY WHITTAKER (DO) is active in the NPI listing used on this page.
What is MATTHEW RAY WHITTAKER (DO)'s specialty?
The listing groups MATTHEW RAY WHITTAKER (DO) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MATTHEW RAY WHITTAKER (DO) list a practice location?
Patients near Oklahoma City, Oklahoma may find MATTHEW RAY WHITTAKER (DO) in results; validate coverage separately.
Is the information about MATTHEW RAY WHITTAKER (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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