JOSEPH J III MATTERN (M.D.) – Family Medicine Physician, NPI 1023060423

JOSEPH J III MATTERN (M.D.) is a healthcare provider. based in Port townsend, Washington. specializing in FAMILY PRACTICE, OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. MD00042614 (WA). The NPI Number for JOSEPH J III MATTERN (M.D.) is 1023060423

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH J III MATTERN (M.D.)
NPI
1023060423
Phone
(360) 379-8031
Address
915 SHERIDAN ST
Enumeration Date
16 May 2006
Last Update Date
2 September 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603798031
Graduation Year
2000 (26 years ago)
PAC ID
6507897402
Group Practice PAC ID
4789593708
Professional Enrollment ID
I20050830000445
Address ID
WA983682931PO915XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

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Provider Addresses for JOSEPH J III MATTERN (M.D.)

  • 915, Sheridan Street, Sea Breeze Mobile Home Park, Port Townsend, Jefferson County, Washington, 98368, United States

    SUITE B103

    PORT TOWNSEND, WA 983682931

    Phone: (360) 379-8031

    Fax: (360) 385-0418

    Mailing address matches the actual address.

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: 2005-08-30

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
I20050830000445IFamily PracticeWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98368)

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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: 4789593708View full group profile
NameSpecialtyState
-AK
-WA
Physician AssistantWA
Nurse PractitionerOR
Diagnostic RadiologyAK
Nurse PractitionerOR
Family PracticeWA
Nurse PractitionerWA
Family PracticeWA
-WA

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOSEPH J III MATTERN (M.D.)?
JOSEPH J III MATTERN (M.D.) — NPI 1023060423 — is the standard way to identify this listing.
Can I rely on JOSEPH J III MATTERN (M.D.) being an active provider?
As of the registry snapshot, JOSEPH J III MATTERN (M.D.) is marked active.
What healthcare role does JOSEPH J III MATTERN (M.D.) hold?
Scheduling teams often label JOSEPH J III MATTERN (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JOSEPH J III MATTERN (M.D.)?
JOSEPH J III MATTERN (M.D.)'s geographic hint is Port Townsend, Washington in our summary view.
Why does JOSEPH J III MATTERN (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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