MATTHEW RYAN TOMMACK (D.O.) – Diagnostic Radiology Physician, NPI 1063645570
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DIAGNOSTIC RADIOLOGY in OR
Provider Addresses for MATTHEW RYAN TOMMACK (D.O.)
PO BOX 1648
EUGENE, OR 974401648
Phone: (541) 242-4384
Fax: (541) 463-2820
Type: Mailing
600 COUNTRY CLUB RD
EUGENE, OR 974012240
Phone: (541) 242-4162
Fax: (541) 345-2358
Type: Location
28050 Grand River Ave
Farmington Hills, MI 483365919
Phone: (208) 283-1949
Type: Location
Beaumont Hospital - Farmington Hills, 28050, Grand River Avenue, Farmington Hills, Oakland County, Michigan, 48336, United States
FARMINGTON HILLS, MI 483365919
Phone: (208) 283-1949
Type: Location
1350, Northwest Domenico Drive, Roseburg, Douglas County, Oregon, 97471, United States
ROSEBURG, OR 974711891
Phone: (208) 283-1949
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($43).
Total Amount
$43
General + Research + Ownership
Payments
1
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $43 |
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: 2015-06-22
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 |
|---|---|---|---|---|
| I20150622000334 | I | Diagnostic Radiology | OR | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 5,394 | 54 | $0 |
| A9576 | Injection, gadoteridol, (prohance multipack), per ml | 521 | 38 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 157 | 24 | $0 |
| 77063 | Screening 3d breast mammography | 152 | 152 | $0 |
| 77067 | Screening mammography | 152 | 152 | $0 |
Insurance plans in this area (ZIP 97440)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MI | 71010 | X-ray of chest, 1 view, front | 84 | 69 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | OR | |
| Nurse Practitioner | WA | |
| - | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| - | OR |
Reviews
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