MATTHEW BLACK SPERRY (M.D.) – Pulmonary Disease Physician, NPI 1871773168

MATTHEW BLACK SPERRY (M.D.) is a healthcare provider. based in Highland, Utah. specializing in PULMONARY DISEASE. They hold the professional credentials M.D.. They hold a License No. 036-115860 (IL). The NPI Number for MATTHEW BLACK SPERRY (M.D.) is 1871773168

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW BLACK SPERRY (M.D.)
NPI
1871773168
Phone
(801) 763-0549
Address
4605 W 10600 N
Enumeration Date
5 November 2007
Last Update Date
31 July 2009

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
8013578310
Graduation Year
2003 (23 years ago)
PAC ID
7416001524
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20090824000353
Address ID
UT840032096AM170XX1100300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

153 PULMONARY DISEASE in UT

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Provider Addresses for MATTHEW BLACK SPERRY (M.D.)

  • 4605, West Caddie Lane, Highland, Utah County, Utah, 84003, United States

    HIGHLAND, UT 840039553

    Phone: (801) 763-0549

    Type: Mailing

  • 1055, North 300 West, North Park, Pleasant View, Provo, Utah County, Utah, 84604, United States

    SUITE 500

    PROVO, UT 846043344

    Phone: (801) 357-7291

    Fax: (801) 357-7919

    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: 2009-08-24

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
I20090824000353IPulmonary DiseaseUTTBD

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
99291Critical care, first 30-74 minutes10473$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6344$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4035$0
View full utilization report →

Insurance plans in this area (ZIP 84003)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

Is MATTHEW BLACK SPERRY (M.D.) listed with a National Provider Identifier?
Yes — MATTHEW BLACK SPERRY (M.D.) has NPI 1871773168 on file in the registry.
Active or inactive — what applies to MATTHEW BLACK SPERRY (M.D.)?
You should see MATTHEW BLACK SPERRY (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for MATTHEW BLACK SPERRY (M.D.)?
At a glance, MATTHEW BLACK SPERRY (M.D.) is tied to Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Is MATTHEW BLACK SPERRY (M.D.) associated with Highland?
Public fields place MATTHEW BLACK SPERRY (M.D.) around Highland, Utah. Always confirm the exact site before visiting.
Does MATTHEW BLACK SPERRY (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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