RYAN MATTHIESEN (DO) – Family Medicine Physician, NPI 1326480732

RYAN MATTHIESEN (DO) is a healthcare provider. based in Decatur, Texas. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. Q3232 (TX). The NPI Number for RYAN MATTHIESEN (DO) is 1326480732

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
RYAN MATTHIESEN (DO)
NPI
1326480732
Phone
(817) 500-9636
Address
PO BOX 2078
Enumeration Date
26 July 2013
Last Update Date
24 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8173695876
Graduation Year
2013 (13 years ago)
PAC ID
0345534533
Group Practice PAC ID
6204988975
Professional Enrollment ID
I20180523001094
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for RYAN MATTHIESEN (DO)

  • PO BOX 2078

    DECATUR, TX 762346156

    Phone: (817) 500-9636

    Fax: (817) 439-8107

    Type: Mailing

  • 2432 AVONDALE HASLET RD STE 100

    HASLET, TX 760523446

    Phone: (817) 500-9636

    Fax: (817) 439-8107

    Type: Location

  • PO BOX 99335

    FORT WORTH, TX 761990335

    Phone: (817) 735-0269

    Fax: (940) 565-3650

    Type: Mailing

  • 1301 S BONNIE BRAE ST

    DENTON, TX 762072003

    Phone: (817) 735-0269

    Fax: (940) 565-3650

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $1,774.

Total Amount is formed as General ($1,774) + Research ($0) + Ownership ($0) = $1,774.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($888).

Total Amount

$1,774

General + Research + Ownership

Payments

47

Total payment records

General Amount

$1,774

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2018-05-23

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
I20180523001094IFamily PracticeTXTBD

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 minutes5026$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2323$0
99214Established patient office or other outpatient visit, 30-39 minutes2013$0
View full utilization report →

Insurance plans in this area (ZIP 76234)

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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: 6204988975View full group profile

Reviews

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Frequently asked questions

What federal number belongs to RYAN MATTHIESEN (DO)?
The federal identifier for RYAN MATTHIESEN (DO) is NPI 1326480732.
Is RYAN MATTHIESEN (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does RYAN MATTHIESEN (DO) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for RYAN MATTHIESEN (DO). Clinical services aligned with this taxonomy classification.
Where is RYAN MATTHIESEN (DO)'s primary listing?
We display Decatur, Texas because that is what the record indicates for RYAN MATTHIESEN (DO).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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