IGOR EVAN MATWIJIW (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1114911369

IGOR EVAN MATWIJIW (M.D.) is a healthcare provider. based in Texarkana, Texas. specializing in ENDOCRINOLOGY. They hold the professional credentials M.D.. They hold a License No. J4910 (TX). The NPI Number for IGOR EVAN MATWIJIW (M.D.) is 1114911369

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
IGOR EVAN MATWIJIW (M.D.)
NPI
1114911369
Phone
(903) 614-5530
Address
2602 SAINT MICHAEL DR STE 201B
Enumeration Date
2 September 2005
Last Update Date
22 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9036145530
Graduation Year
1979 (47 years ago)
PAC ID
7911030309
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20100805000679
Address ID
TX755032320TE2602XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

661 ENDOCRINOLOGY in TX

Provider Addresses for IGOR EVAN MATWIJIW (M.D.)

  • 2602 SAINT MICHAEL DR STE 201B

    TEXARKANA, TX 755032320

    Phone: (903) 614-5530

    Type: Location

  • 2604, Saint Michael Drive, Texarkana, Bowie County, Texas, 75503, United States

    STE 310

    TEXARKANA, TX 755032373

    Phone: (903) 614-5530

    Fax: (903) 614-5535

    Type: Location

  • 2604 St Michael Dr

    Ste 310

    Texarkana, TX 755032373

    Phone: (903) 614-5530

    Fax: (903) 614-5535

    Type: Location

  • 919 HIDDEN RDG

    IRVING, TX 750383813

    Phone: (469) 282-2711

    Fax: (469) 282-0996

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $167.

Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Novo Nordisk Inc ($85).

Total Amount

$167

General + Research + Ownership

Payments

10

Total payment records

General Amount

$167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2010-08-05

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
I20100805000679IEndocrinologyTXTBD

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 minutes538413$0
99214Established patient office or other outpatient visit, 30-39 minutes509373$0
99204New patient office or other outpatient visit, 45-59 minutes9393$0
83036Hemoglobin a1c level3232$0
99203New patient office or other outpatient visit, 30-44 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 75503)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

What federal number belongs to IGOR EVAN MATWIJIW (M.D.)?
The federal identifier for IGOR EVAN MATWIJIW (M.D.) is NPI 1114911369.
Does this profile mean IGOR EVAN MATWIJIW (M.D.) is currently active?
Yes — IGOR EVAN MATWIJIW (M.D.) appears active in the national provider directory.
Can you summarize IGOR EVAN MATWIJIW (M.D.)'s specialty in plain language?
Clinically, the directory lists IGOR EVAN MATWIJIW (M.D.) with Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for IGOR EVAN MATWIJIW (M.D.)?
The page summarizes Texarkana, Texas for IGOR EVAN MATWIJIW (M.D.); expand the address list for detail.
What if Texarkana, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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