DR. DEREK M MATHESON (DO) – Internal Medicine Physician, NPI 1780765719
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
747 EMERGENCY MEDICINE in OK
Provider Addresses for DR. DEREK M MATHESON (DO)
Debell Avenue, Bartlesville, Washington County, Oklahoma, 74006, United States
BLDG A
BARTLESVILLE, OK 74006
Phone: (918) 331-1089
Fax: (918) 331-1823
Type: Mailing
11402 N 135TH EAST AVE
OWASSO, OK 740555701
Phone: (918) 212-7373
Fax: (918) 550-6689
Type: Mailing
Jane Phillips Medical Center, 3500, Southeast Frank Phillips Boulevard, Bartlesville, Washington County, Oklahoma, 74006, United States
HOSPITALIST
BARTLESVILLE, OK 74006
Phone: (918) 331-1089
Fax: (918) 331-1823
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: 2022-02-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20110128001014 | I | Emergency Medicine | OK | TBD |
| I20220221001457 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 310 | 139 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 179 | 168 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 91 | 86 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 74 | 44 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 43 | 42 | $0 |
Insurance plans in this area (ZIP 74006)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| - | OK | |
| - | OK | |
| Emergency Medicine | SC | |
| - | OK | |
| Family Practice | OK | |
| - | OK | |
| - | OK | |
| Internal Medicine, Hospice/Palliative Care | OK | |
| Emergency Medicine | OK |
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