KIRK ANTHONY MATHEWS – Medical Physician Assistant, NPI 1245881184

KIRK ANTHONY MATHEWS is a healthcare provider. based in Broken arrow, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA15481 (TX). The NPI Number for KIRK ANTHONY MATHEWS is 1245881184

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
KIRK ANTHONY MATHEWS
NPI
1245881184
Phone
(267) 978-3352
Address
714 W VANDEVER BLVD
Enumeration Date
23 September 2019
Last Update Date
13 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8174488114
Graduation Year
2021 (5 years ago)
PAC ID
2365839107
Group Practice PAC ID
0042507600
Professional Enrollment ID
I20220427000201
Address ID
TX761262593BE371XXSTXX300

Contacts

Secure Messaging
kirkmathews249441@direct.texashealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Other namesUpdated within 12 months

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for KIRK ANTHONY MATHEWS

  • 714 W VANDEVER BLVD

    BROKEN ARROW, OK 740127663

    Phone: (267) 978-3352

    Type: Mailing

  • University of Oklahoma - Tulsa, 4502, East 41st Street, Max Campbell V, Tulsa, Tulsa County, Oklahoma, 74135, United States

    TULSA, OK 741352536

    Phone: (267) 978-3352

    Type: Location

  • 311 E Milam St

    Mexia, TX 766672359

    Phone: (254) 562-2500

    Type: Location

  • 215 N Main St

    Mc Gregor, TX 766571236

    Phone: (254) 405-6730

    Type: Location

  • 3101 BROSNAN RD

    LORENA, TX 766553983

    Phone: (267) 978-3352

    Type: Mailing

  • 6901 MEDICAL PKWY

    WACO, TX 767127910

    Phone: (267) 978-3352

    Type: Location

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: 2022-04-27

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
I20220427000201IPhysician AssistantTXTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg10611$0
99284Emergency department visit with moderate level of medical decision making5958$0
99214Established patient office or other outpatient visit, 30-39 minutes3534$0
99285Emergency department visit with high level of medical decision making2727$0
96372Injection of drug or substance under skin or into muscle1616$0
View full utilization report →

Insurance plans in this area (ZIP 74012)

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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: 0042507600View full group profile
NameSpecialtyState
-TX
-TX
Nurse PractitionerAZ
Physician AssistantUT
Nurse PractitionerTX
Emergency MedicineTX
Physician AssistantAR
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I use this page to confirm KIRK ANTHONY MATHEWS's NPI?
Yes. KIRK ANTHONY MATHEWS is listed with NPI 1245881184 in the public NPI dataset.
Does CMS list KIRK ANTHONY MATHEWS as active?
Yes — KIRK ANTHONY MATHEWS is active in the NPI listing used on this page.
What is KIRK ANTHONY MATHEWS's primary classification?
Medical Physician Assistant is the headline specialty for KIRK ANTHONY MATHEWS here. Clinical services aligned with this taxonomy classification.
Does KIRK ANTHONY MATHEWS list a practice location?
Patients near Broken Arrow, Oklahoma may find KIRK ANTHONY MATHEWS in results; validate coverage separately.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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