MATTHEW DAVID ROSE (PA STUDENT) – Physician Assistant, NPI 1861929796

MATTHEW DAVID ROSE (PA STUDENT) is a healthcare provider. based in Seymour, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA STUDENT. The NPI Number for MATTHEW DAVID ROSE (PA STUDENT) is 1861929796

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW DAVID ROSE (PA STUDENT)
NPI
1861929796
Phone
(940) 631-1339
Address
801 N Donald St
Enumeration Date
23 May 2017
Last Update Date
12 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3256702000
Graduation Year
2017 (9 years ago)
PAC ID
5092072967
Group Practice PAC ID
1153414503
Professional Enrollment ID
I20171130002334
Address ID
TX796012432AB1900XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:9State licenses:0Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MATTHEW DAVID ROSE (PA STUDENT)

  • 801 N Donald St

    Seymour, TX 763801637

    Phone: (940) 631-1339

    Type: Location

  • 801, North Donald Street, Seymour, Baylor County, Texas, 76380, United States

    SEYMOUR, TX 763801637

    Phone: (940) 631-1339

    Type: Location

  • 850 N 6TH ST

    ABILENE, TX 796015242

    Phone: (325) 692-5600

    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: 2017-11-30

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
I20171130002334IPhysician AssistantTXTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4848$0
View full utilization report →

Insurance plans in this area (ZIP 76380)

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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: 1153414503View full group profile
NameSpecialtyState
Internal MedicineNM
Internal Medicine, Emergency MedicineTX
Physician AssistantTX
Internal MedicineTX
Internal MedicineNC
Internal MedicinePA
Internal MedicineNV
Family Practice, Internal MedicineTX
Nephrology, Emergency Medicine, Internal MedicineTX
Nephrology, Internal MedicineOK

Reviews

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Frequently asked questions

What federal number belongs to MATTHEW DAVID ROSE (PA STUDENT)?
The federal identifier for MATTHEW DAVID ROSE (PA STUDENT) is NPI 1861929796.
Is MATTHEW DAVID ROSE (PA STUDENT)'s NPI currently valid?
The extract we use shows MATTHEW DAVID ROSE (PA STUDENT) as active.
What does MATTHEW DAVID ROSE (PA STUDENT) treat or focus on?
Patients typically see MATTHEW DAVID ROSE (PA STUDENT) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MATTHEW DAVID ROSE (PA STUDENT)?
The page summarizes Seymour, Texas for MATTHEW DAVID ROSE (PA STUDENT); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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