STEPHEN MICHAEL MATLOCK – Dermatology Physician, NPI 1811494727
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
107 DERMATOLOGY in AR
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Provider Addresses for STEPHEN MICHAEL MATLOCK
701, Northeast 19th Street, Newcastle, McClain County, Oklahoma, 73065, United States
OKLAHOMA CITY, OK 731058007
Phone: (417) 825-3906
Type: Mailing
576, West Markham Street, Little Rock, Pulaski County, Arkansas, 72201, United States
LITTLE ROCK, AR 722057101
Phone: (501) 686-8424
Type: Location
7901 W 135TH ST
OVERLAND PARK, KS 662231201
Phone: (913) 451-7546
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 74 Open Payments records for all available years, with a total value of $1,396.
Total Amount is formed as General ($1,396) + Research ($0) + Ownership ($0) = $1,396.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($455).
Total Amount
$1,396
General + Research + Ownership
Payments
74
Total payment records
General Amount
$1,396
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $455 |
| E.R. Squibb & Sons, L.L.C. | $314 |
| Novartis Pharmaceuticals Corporation | $125 |
| Organogenesis Inc. | $119 |
| UCB, Inc. | $56 |
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: 2022-07-12
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 |
|---|---|---|---|---|
| I20220622002170 | I | Dermatology | KS | TBD |
| I20220712000916 | I | Dermatology | MO | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 457 | 113 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 319 | 265 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 269 | 209 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 210 | 154 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 156 | 117 | $0 |
Insurance plans in this area (ZIP 73105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | MO | |
| D E R M A T O L O G Y | MO | |
| Plastic And Reconstructive Surgery | KS | |
| D E R M A T O L O G Y | KS | |
| D E R M A T O L O G Y | KS | |
| D E R M A T O L O G Y | KS | |
| D E R M A T O L O G Y | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | WI |
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