DR. MATTHEW BRIAN RUDOLPH (D.O.) – Orthopaedic Surgery Physician, NPI 1629200308
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
328 ORTHOPEDIC SURGERY in OK
Provider Addresses for DR. MATTHEW BRIAN RUDOLPH (D.O.)
744 W 9th St # H410
Tulsa, OK 741279020
Phone: (918) 599-5949
Type: Location
1123 S Palestine St
Athens, TX 757513646
Phone: (190) 367-5952
Fax: (903) 675-9526
Type: Location
David Matthew Allen, DPM, 1123, South Palestine Street, Athens, Henderson County, Texas, 75751, United States
ATHENS, TX 757513646
Phone: (903) 675-9526
Fax: (903) 677-1815
Type: Mailing
4002 S LOOP 256 STE B
PALESTINE, TX 758018405
Phone: (903) 731-5478
Fax: (903) 731-5042
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $1,583.
Total Amount is formed as General ($1,583) + Research ($0) + Ownership ($0) = $1,583.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Stryker Corporation ($1,094).
Total Amount
$1,583
General + Research + Ownership
Payments
61
Total payment records
General Amount
$1,583
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $1,094 |
| PolyNovo North America LLC | $234 |
| Alafair Biosciences, Inc. | $154 |
| Bioventus LLC | $66 |
| Otsuka America Pharmaceutical, Inc. | $19 |
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: 2014-08-15
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 |
|---|---|---|---|---|
| I20140815001773 | I | Orthopedic Surgery | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 54 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 64 | 64 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 43 | 28 | $0 |
| 73562 | X-ray of knee, 3 views | 36 | 25 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 74127)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | OK | 73562 | X-ray of knee, 3 views | 72 | 57 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| Orthopedic Surgery | TX | |
| Nurse Practitioner | TX | |
| Cardiovascular Disease (Cardiology) | TN | |
| Cardiovascular Disease (Cardiology), Nuclear Medicine | TX | |
| Orthopedic Surgery | TX |
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