MATTHEW KIDDLE (PA) – Physician Assistant, NPI 1033528591
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MATTHEW KIDDLE (PA)
907 GEORGIANA ST
PORT ANGELES, WA 983623911
Phone: (360) 565-0999
Fax: (360) 457-1599
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: 2015-12-29
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 |
|---|---|---|---|---|
| I20151229000988 | I | Physician Assistant | WA | 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 |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 262 | 146 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 243 | 201 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 180 | 159 | $0 |
| 73564 | X-ray of knee, 4 or more views | 63 | 53 | $0 |
| 73110 | X-ray of wrist, minimum of 3 views | 60 | 28 | $0 |
Insurance plans in this area (ZIP 98362)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CA | 73562 | X-ray of knee, 3 views | 130 | 96 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Family Practice | WA | |
| - | NY | |
| Emergency Medicine | WA | |
| - | WA | |
| - | WA | |
| - | TN | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| Cardiovascular Disease (Cardiology) | WA | |
| Family Practice | GU |
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