DR. COURTNEY LAINE MATYJA (AU.D.) – Audiologist, NPI 1962560995
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. COURTNEY LAINE MATYJA (AU.D.)
2670 UNION AVENUE EXT STE 801
MEMPHIS, TN 381124416
Phone: (901) 726-0044
Fax: (901) 726-0858
Type: Location
2515, College Avenue, Conway, Faulkner County, Arkansas, 72034, United States
CONWAY, AR 720346135
Phone: (501) 205-1215
Type: Mailing
8000 Highway 107 Ste 1
Sherwood, AR 721205204
Phone: (501) 819-0665
Type: Location
6401 Poplar Ave Ste 302
Memphis, TN 381194823
Phone: (901) 726-0044
Type: Location
11219 Financial Centre Pkwy Ste 260
Little Rock, AR 722113882
Phone: (501) 621-8250
Type: Location
855 S GERMAN LN
CONWAY, AR 720346334
Phone: (501) 205-1215
Fax: (501) 205-1250
Type: Mailing
2515 COLLEGE AVE
CONWAY, AR 72034
Phone: (501) 205-1215
Type: Location
855 S GERMAN LN STE 2
CONWAY, AR 720346479
Phone: (501) 205-1215
Fax: (501) 205-1250
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: 2019-01-30
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 |
|---|---|---|---|---|
| I20060116000232 | I | Qualified Audiologist | AR | TBD |
| I20190130002313 | I | Qualified Audiologist | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| - | AR | |
| - | AR |
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