ERIC V. A. MATLOCK D.O.
NPI 1093788762
Family Medicine in Washington, MO

Q: What is Eric Matlock's NPI number?

The NPI number for Eric Matlock is 1093788762. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Q: What is Eric Matlock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eric Matlock was last updated on September 12, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment

901 E 5TH ST, MEDICAL STAFF OFFICE, WASHINGTON, MO 63090(636) 239-8231(636) 239-9890 Get Directions Write a Review

NPPES record last updated: September 12, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Eric V. A. Matlock D.o. NPPES

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

ERIC V. A. MATLOCK D.O. (NPI 1093788762) is an individual family medicine provider in Washington, Missouri, licensed in Missouri (2005011343) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2002).

NPPES Registry Identity

NPI1093788762

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameERIC V. A. MATLOCKCredential: D.O.

Location Address901 E 5TH ST, MEDICAL STAFF OFFICEWashington, MO 63090-3127

Mailing AddressPo Box 502852Saint Louis, MO 63150-2852 · (314) 364-4200

Phone(636) 239-8231

Fax(636) 239-9890

Sole ProprietorNo

Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2002

Enumeration DateFebruary 10, 2006

Last NPPES UpdateSeptember 12, 2014

✔ NPI 1093788762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · 2005011343

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.

901 E 5TH ST, Washington, MO 63090

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Other Identifiers 4

OtherP00769834MO · Railroad Medicare

Medicare UPINI137443

Medicaid1093788762MO

Medicare PINMA1237003MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eric V. A. Matlock D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234169194

PECOS Enrollment IDI20050819000602

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 63090 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers25 claims25 services$67.01 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$15.89 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers19 claims19 services$34.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

JAYA PARKER MD

Internal Medicine