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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATHEW DICKSON DO
NPI 1093402794
Family Medicine in Puyallup, WA

Active since April 21, 2023PECOS Enrolled
1322 3RD ST SE STE 240, PUYALLUP, WA 98372(253) 697-1420 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mathew Dickson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATHEW DICKSON DO (NPI 1093402794) is an individual family medicine provider in Puyallup, Washington, licensed in Washington (DO.OP.70136991) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Puyallup.

NPPES Registry Identity

NPI1093402794
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATHEW DICKSONCredential: DO
Location Address1322 3RD ST SE STE 240Puyallup, WA 98372-3771
Mailing Address1322 3rd St Se Ste 240Puyallup, WA 98372-3771 · (253) 697-1420
Phone(253) 697-1420
Sole ProprietorNo
Enumeration DateApril 21, 2023
Last NPPES UpdateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1093402794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · DO.OP.70136991
Definition
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.
1322 3RD ST SE STE 240, Puyallup, WA 98372
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Secondary Practice Location 1

Location 11007 39th Ave SEPuyallup, WA 98374-2192 · Phone (253) 435-3100 · Fax (844) 660-0690

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mathew Dickson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98372 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TORI ALYSSA KORNELSEN MB BCH BAO
Student in an Organized Health Care Education/Training Program
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (235) 697-1420
ALEXINNA CIANA JOHNS M.D.
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-5757
DR. STEPHEN ROBERT DURKEE JR. MD
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
BRIAN DAVID LAY D.O.
Family Medicine
1322 3RD ST SE STE 240, MS 1322-2-EFM
PUYALLUP, WA 98372
Pierce County (253) 697-1420
DR. KEANNA G WORTHY DO
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
KHUSHBU SODHI ATWAL DO
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
SARAH HAMPTON DO
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
AMY JO PEARCY D.O.
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-5757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mathew Dickson's NPI number?

The NPI number for Mathew Dickson is 1093402794. It was assigned to this individual provider in the NPPES registry on April 21, 2023.

Where is Mathew Dickson located?

Mathew Dickson practices at 1322 3rd St SE Ste 240, Puyallup, WA 98372. The listed phone number is (253) 697-1420.

What is Mathew Dickson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mathew Dickson enrolled in Medicare?

Yes. Mathew Dickson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mathew Dickson was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.