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MR. MATTHEW PRESTON RAINBOLT PA-C
NPI 1124414693
Physician Assistant in Lake Havasu City, AZ

Active since April 12, 2015PECOS Enrolled
3619 DESERT ROSE LN, LAKE HAVASU CITY, AZ 86404(337) 349-6708 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2022, Oct 26, 2020 (2 updates tracked since 2020).

About Mr. Matthew Preston Rainbolt Pa-c NPPES

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

MR. MATTHEW PRESTON RAINBOLT PA-C (NPI 1124414693) is an individual physician assistant in Lake Havasu City, Arizona, licensed in North Carolina (0010-05706) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124414693
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MATTHEW PRESTON RAINBOLTCredential: PA-C
Location Address3619 DESERT ROSE LNLake Havasu City, AZ 86404-1748
Mailing AddressPo Box 51131Lafayette, LA 70505-1131 · (337) 349-6708
Phone(337) 349-6708
Sole ProprietorYes
Enumeration DateApril 12, 2015
Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1124414693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NC · 0010-05706✔ Licensed in AZ · 6039
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3619 DESERT ROSE LN, Lake Havasu City, AZ 86404
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Matthew Preston Rainbolt Pa-c 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
67 services65 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
67 services67 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
42 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86404 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Matthew Rainbolt's NPI number?

The NPI number for Matthew Rainbolt is 1124414693. It was assigned to this individual provider in the NPPES registry on April 12, 2015.

Where is Matthew Rainbolt located?

Matthew Rainbolt practices at 3619 Desert Rose Ln, Lake Havasu City, AZ 86404. The listed phone number is (337) 349-6708.

What is Matthew Rainbolt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Rainbolt enrolled in Medicare?

Yes. Matthew Rainbolt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Rainbolt was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.