DR. MATTHEW MARCUS MCTAGUE (D.O.) – Surgery Physician, NPI 1598910283
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
354 GENERAL SURGERY in OK
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Provider Addresses for DR. MATTHEW MARCUS MCTAGUE (D.O.)
Stonecipher Boulevard, Ada, Pontotoc County, Oklahoma, 74820, United States
ADA, OK 748203439
Phone: (580) 436-3980
Type: Mailing
3315 KETHLEY RD
SHAWNEE, OK 748049638
Phone: (405) 273-5801
Fax: (405) 878-3794
Type: Mailing
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: 2012-08-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120806000646 | I | General Surgery | OK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 33 | 33 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 19 | 11 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 14 | 11 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 12 | 12 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 74820)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | TX | 45378 | Diagnostic examination of large bowel using an endoscope | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Internal Medicine, Pediatric Medicine | OK | |
| U R O L O G Y | OK | |
| Clinical Social Worker | OK | |
| Physician Assistant | OK | |
| Family Practice | OK | |
| Physician Assistant | OK | |
| Orthopedic Surgery | OK | |
| Family Practice | OK | |
| Family Practice | OK |
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