MATTHEW M WALKER (PAC) – Medical Physician Assistant, NPI 1508299124

MATTHEW M WALKER (PAC) is a healthcare provider. based in Othello, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA60401333 (WA). The NPI Number for MATTHEW M WALKER (PAC) is 1508299124

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW M WALKER (PAC)
NPI
1508299124
Phone
(509) 488-5256
Address
1515 E COLUMBIA ST
Enumeration Date
19 August 2013
Last Update Date
17 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
50948852568512
Graduation Year
2013 (13 years ago)
PAC ID
1456595826
Group Practice PAC ID
4486564309
Professional Enrollment ID
I20130925000424
Address ID
WA993441846OT1515XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for MATTHEW M WALKER (PAC)

  • 1515 E COLUMBIA ST

    OTHELLO, WA 993441846

    Phone: (509) 488-5256

    Fax: (509) 488-9939

    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 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Urgo Medical North America, LLC ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-09-25

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
I20130925000424IPhysician 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.

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

Insurance plans in this area (ZIP 99344)

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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: 4486564309View full group profile
NameSpecialtyState
Physician AssistantWA
-WA
Undefined Non Physician Type (Specify), Mental Health CounselorWA
Nurse PractitionerWA
Nurse PractitionerWA
Family PracticeWA
Physician AssistantWA
Physician AssistantWA
Nurse PractitionerWA
Physician AssistantWA

Reviews

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Frequently asked questions

What NPI should I save for MATTHEW M WALKER (PAC)?
Save NPI 1508299124 if you need a stable reference for MATTHEW M WALKER (PAC).
Is MATTHEW M WALKER (PAC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MATTHEW M WALKER (PAC)?
The page reflects Medical Physician Assistant for MATTHEW M WALKER (PAC). Clinical services aligned with this taxonomy classification.
What location shows for MATTHEW M WALKER (PAC)?
We surface Othello, Washington for MATTHEW M WALKER (PAC) based on available NPPES addresses.
Is MATTHEW M WALKER (PAC) a real provider?
This page reflects official NPPES data for NPI 1508299124. Always confirm identity and privileges with the practice and licensing boards.

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