JOHN F MATISTA (PA-C) – Medical Physician Assistant, NPI 1366435943

JOHN F MATISTA (PA-C) is a healthcare provider. based in Everett, Washington. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA10004886 (WA). The NPI Number for JOHN F MATISTA (PA-C) is 1366435943

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
JOHN F MATISTA (PA-C)
NPI
1366435943
Phone
(425) 261-4910
Address
1330 ROCKEFELLER AVE
Enumeration Date
29 August 2005
Last Update Date
12 December 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3602930308
Graduation Year
1980 (46 years ago)
PAC ID
2466477559
Group Practice PAC ID
6800793522
Professional Enrollment ID
I20051007000442
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN F MATISTA (PA-C)

  • 1330, Rockefeller Avenue, Northwest Everett, Everett, Snohomish County, Washington, 98201, United States

    SUITE 225

    EVERETT, WA 982011684

    Phone: (425) 261-4910

    Fax: (425) 261-4911

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2023-07-11 • Largest payer in this snapshot: Abbott Laboratories ($34).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$34
View all Open Payments →|Open Payments Risk Radar →

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: 2005-10-07

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
I20051007000442IPhysician AssistantWATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes220192$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report10180$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only9174$0
99214Established patient office or other outpatient visit, 30-39 minutes5654$0
View full utilization report →

Insurance plans in this area (ZIP 98201)

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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: 6800793522View full group profile
NameSpecialtyState
D E R M A T O L O G YNY
Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery, Surgical OncologyWA
Nurse PractitionerWA
Nurse PractitionerWA
-WA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)WA
O B S T E T R I C S/ G Y N E C O L O G YWA
O T O L A R Y N G O L O G YWA
Orthopedic SurgeryWA
-WA

Reviews

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Frequently asked questions

What unique ID ties claims to JOHN F MATISTA (PA-C)?
NPI 1366435943 is assigned to JOHN F MATISTA (PA-C) under the national enumeration system.
Is JOHN F MATISTA (PA-C)'s NPI currently valid?
The extract we use shows JOHN F MATISTA (PA-C) as active.
What field does JOHN F MATISTA (PA-C) work in?
You can think of JOHN F MATISTA (PA-C) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for JOHN F MATISTA (PA-C)?
We surface Everett, Washington for JOHN F MATISTA (PA-C) based on available NPPES addresses.
What if Everett, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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