ROBERT JOHN MATEJKA (DO) – Anesthesiology Physician, NPI 1669577573
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ROBERT JOHN MATEJKA (DO)
755 E 3900 S
Salt Lake City, UT 841072176
Phone: (801) 263-5715
Fax: (801) 263-5774
Type: Location
2146, Powderkeg Drive, Sandy, Salt Lake County, Utah, 84093, United States
SANDY, UT 840931784
Phone: (801) 944-8866
Type: Mailing
Pioneer Parkway, Arlington, Tarrant County, Texas, 76013-3804, United States
WEST VALLEY, UT 841202049
Phone: (801) 993-9526
Fax: (801) 733-5618
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: 2004-03-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040301000245 | I | Anesthesiology | UT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00103 | Anesthesia for procedure on eyelid | 32 | 31 | $0 |
| 00140 | Anesthesia for other procedure on eye | 14 | 14 | $0 |
Insurance plans in this area (ZIP 84107)
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Group practice members
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|---|---|---|
| O P T O M E T R Y | UT | |
| - | UT | |
| O P T O M E T R Y | UT | |
| - | UT | |
| O P H T H A L M O L O G Y | UT | |
| - | UT | |
| O P H T H A L M O L O G Y | UT | |
| O P T O M E T R Y | UT | |
| O P H T H A L M O L O G Y | UT | |
| O P H T H A L M O L O G Y | UT |
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