MATTHEW KING (NP-C) – Family Nurse Practitioner, NPI 1104228527
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for MATTHEW KING (NP-C)
10710 OLD HIGHWAY 64
BOLIVAR, TN 380083587
Phone: (731) 658-6113
Type: Mailing
641 E POPLAR AVE
SELMER, TN 383751828
Phone: (731) 645-5753
Type: Location
260 HORNER DR
SELMER, TN 383751803
Phone: (731) 610-0392
Type: Mailing
80 ENOCH BLVD
SAVANNAH, TN 383722231
Phone: (731) 926-9600
Fax: (731) 926-9604
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $128.
Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($70).
Total Amount
$128
General + Research + Ownership
Payments
6
Total payment records
General Amount
$128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-01-14
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 |
|---|---|---|---|---|
| I20150114002490 | I | Nurse Practitioner | TN | 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 | 265 | 219 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 197 | 151 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 145 | 129 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 140 | 124 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 79 | 76 | $0 |
Insurance plans in this area (ZIP 38008)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| - | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Mental Health Counselor | TN | |
| - | TN | |
| - | TN | |
| Clinical Social Worker | TN | |
| - | TN | |
| Mental Health Counselor | NM |
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