MATTHEW POULSEN – Orthopaedic Surgery Physician, NPI 1881635761
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
325 ORTHOPEDIC SURGERY in UT
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Provider Addresses for MATTHEW POULSEN
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
PROVO, UT 846043305
Phone: (801) 354-8225
Fax: (801) 429-8150
Type: Mailing
Timpanogos Regional Hospital, 700, West 800 North, Orem Station, Orem, Utah County, Utah, 84057, United States
SUITE 100
OREM, UT 840576301
Phone: (801) 224-5373
Fax: (801) 224-5337
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $85.
Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Vericel Corporation ($47).
Total Amount
$85
General + Research + Ownership
Payments
3
Total payment records
General Amount
$85
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vericel Corporation | $47 |
| Smith+Nephew, Inc. | $37 |
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: 2011-08-12
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 |
|---|---|---|---|---|
| I20110812000119 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 878 | 64 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 129 | 67 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 53 | 39 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 49 | 42 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 46 | 46 | $0 |
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT |
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