MATTHEW DAVID RYNEARSON (PA) – Medical Physician Assistant, NPI 1114325511

MATTHEW DAVID RYNEARSON (PA) is a healthcare provider. based in Lubbock, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA09501 (TX). The NPI Number for MATTHEW DAVID RYNEARSON (PA) is 1114325511

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW DAVID RYNEARSON (PA)
NPI
1114325511
Phone
(806) 743-2898
Address
PO BOX 5865
Enumeration Date
17 December 2014
Last Update Date
5 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4355867676
Graduation Year
2014 (12 years ago)
PAC ID
7214251818
Group Practice PAC ID
3971553884
Professional Enrollment ID
I20151230001921
Address ID
UT847218179CE110XX1325302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MATTHEW DAVID RYNEARSON (PA)

  • PO BOX 5865

    LUBBOCK, TX 794085865

    Phone: (806) 743-2898

    Fax: (806) 743-2787

    Type: Mailing

  • 3601 4TH ST

    LUBBOCK, TX 794309406

    Phone: (806) 743-7337

    Fax: (806) 743-7329

    Type: Location

  • 110 W 1325 N STE 200

    CEDAR CITY, UT 847218179

    Phone: (435) 586-7676

    Fax: (435) 586-2290

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $493.

Total Amount is formed as General ($493) + Research ($0) + Ownership ($0) = $493.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($171).

Total Amount

$493

General + Research + Ownership

Payments

28

Total payment records

General Amount

$493

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-12-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151230001921IPhysician AssistantUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10277$0
99214Established patient office or other outpatient visit, 30-39 minutes6447$0
View full utilization report →

Insurance plans in this area (ZIP 79408)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971553884View full group profile
NameSpecialtyState
Family Practice, Sports MedicineUT
Physician AssistantUT
Physician AssistantUT
Physician AssistantUT
Family PracticeUT
Physician AssistantUT
-UT
Physician AssistantUT
Family Practice, Obstetrics/GynecologyUT
Physician AssistantUT

Reviews

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Frequently asked questions

What number should I use to identify MATTHEW DAVID RYNEARSON (PA) for billing?
Administrative and clinical systems typically use NPI 1114325511 for MATTHEW DAVID RYNEARSON (PA).
Is MATTHEW DAVID RYNEARSON (PA)'s NPI status active today?
Active status means MATTHEW DAVID RYNEARSON (PA)'s NPI record is not deactivated in the public file.
Which specialty label fits MATTHEW DAVID RYNEARSON (PA)?
NPPES ties MATTHEW DAVID RYNEARSON (PA) to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MATTHEW DAVID RYNEARSON (PA)?
The directory associates MATTHEW DAVID RYNEARSON (PA) with Lubbock, Texas. Check all listed addresses for suites or satellite offices.
Can I export MATTHEW DAVID RYNEARSON (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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