MATTHEW CLAY UPSHAW (D.O.) – Family Medicine Physician, NPI 1407842487
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,081 FAMILY PRACTICE in OR
Provider Addresses for MATTHEW CLAY UPSHAW (D.O.)
400 NE Roberts Ave
Gresham, OR 970307464
Phone: (503) 665-9144
Fax: (503) 665-6404
Type: Location
400, Northeast Roberts Avenue, Central City, Downtown Gresham, Gresham, Multnomah County, Oregon, 97030, United States
GRESHAM, OR 970307464
Phone: (503) 665-9144
Fax: (503) 665-6404
Type: Mailing
500 NE MULTNOMAH ST STE 100
PORTLAND, OR 972322031
Phone: (800) 813-2000
Type: Mailing
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
Phone: (800) 813-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 81 Open Payments records for all available years, with a total value of $2,205.
Total Amount is formed as General ($2,205) + Research ($0) + Ownership ($0) = $2,205.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($660).
Total Amount
$2,205
General + Research + Ownership
Payments
81
Total payment records
General Amount
$2,205
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $660 |
| PFIZER INC. | $278 |
| Amgen Inc. | $240 |
| Hologic Sales and Service, LLC | $116 |
| Otsuka America Pharmaceutical, Inc. | $111 |
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: 2019-04-09
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 |
|---|---|---|---|---|
| I20110106000625 | I | Family Practice | OR | TBD |
| I20190409001397 | I | Family Practice | WA | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 102 | 76 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 80 | 60 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 55 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 31 | 31 | $0 |
| 83036 | Hemoglobin a1c level | 20 | 18 | $0 |
Insurance plans in this area (ZIP 97030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR |
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