MS. KATHRYN THENA MATTHEWS (PA-C) – Physician Assistant, NPI 1134255938
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,285 PHYSICIAN ASSISTANT in WA
Provider Addresses for MS. KATHRYN THENA MATTHEWS (PA-C)
1112 6TH AVE
STE 300
TACOMA, WA 984054048
Phone: (253) 272-2224
Fax: (253) 572-4624
Type: Mailing
3620 JOSEPH SIEWICK DR
STE 100
FAIRFAX, VA 220331757
Phone: (253) 530-2663
Type: Mailing
11511 CANTERWOOD BLVD STE 205
GIG HARBOR, WA 983325818
Phone: (253) 530-2663
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $48.
Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.
Last reported payment date: 2023-08-29 • Largest payer in this snapshot: Bioventus LLC ($28).
Total Amount
$48
General + Research + Ownership
Payments
2
Total payment records
General Amount
$48
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $28 |
| Fidia Pharma USA Inc. | $20 |
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: 2021-11-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210128001956 | I | Physician Assistant | DC | TBD |
| I20211110001668 | I | Physician Assistant | VA | 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 |
|---|---|---|---|---|
| 73562 | X-ray of knee, 3 views | 50 | 40 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 35 | 27 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 30 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 27 | 21 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 20 | 19 | $0 |
Insurance plans in this area (ZIP 98405)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| Physician Assistant | VA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA |
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