PHILIP R MATTHEWS DO
NPI 1053444893
Family Medicine in Bellevue, WA

NPI Status: Active since March 13, 2007

Contact Information

2025 112TH AVE NE
BLDG 2 STE 300
BELLEVUE, WA
ZIP 98004
Phone: (425) 467-5929
Fax: (425) 467-5977

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Family Medicine
PECOS Enrolled
Opted-Out Medicare

About PHILIP MATTHEWS

This page provides the complete NPI Profile along with additional information for Philip Matthews, a primary care provider established in Bellevue, Washington with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1053444893 assigned on March 2007. The practitioner's primary taxonomy code is 207Q00000X with license number OP00000982 (WA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI: 1053444893
Provider Name: PHILIP R MATTHEWS DO
Gender: Male
Entity Type: Individual
Location Address: 2025 112TH AVE NE BLDG 2 STE 300 BELLEVUE, WA 98004
Location Phone: (425) 467-5929
Location Fax: (425) 467-5977
Mailing Address: 2025 112TH AVE NE BLDG 2 STE 300 BELLEVUE, WA 98004
Mailing Phone: (425) 467-5929
Mailing Fax: (425) 467-5977
Is Sole Proprietor?: No
Enumeration Date: 03-13-2007
Last Update Date: 07-08-2007
Code Navigator

A primary care provider (PCP) like Philip Matthews sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Philip Matthews opted out of Medicare effective on 05-23-2016 until 05-23-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Family Medicine
Taxonomy Code: 207Q00000X
Type: Allopathic & Osteopathic Physicians
License No.: OP00000982
License State: WA
Taxonomy Description: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
D14169	MEDICARE UPIN (02)

Medicare Participation & PECOS Enrollment Status

Philip Matthews is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-23-2016
Opt-Out End Date: 05-23-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 98004 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $97.43
Minimum New Patient Price $63.67
Maximum New Patient Price $189.37

Average New Patient Copayment $24.35
Minimum New Patient Copayment $15.91
Maximum New Patient Copayment $47.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $111
Minimum Established Patient Price $21.12
Maximum Established Patient Price $155

Average Established Patient Copayment $27.75
Minimum Established Patient Copayment $5.28
Maximum Established Patient Copayment $38.75

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	5	3	4	4	4	8	9	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	10	3	8	4	8	8	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 8 + 4 + 8 + 8 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1053444893 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 17 providers are registered at the same or nearby location.

DR. RICHARD D. LAWSON PHD

Psychologist

2025 112TH AVE NE
SUITE 300
BELLEVUE, WA
ZIP 98004

About PHILIP MATTHEWS

Location Map

Specialty - Primary Taxonomy

Family Medicine

Insurance Plans Accepted

Medicare

Medicaid

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Opted-Out of Medicare? Yes

Opt-Out Effective Date: 05-23-2016

Opt-Out End Date: 05-23-2026

Eligible to Order and Refer? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for PHILIP R MATTHEWS DO

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

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