MATTHEW JACKSON TARLTON
NPI 1154072346
Physician Assistant in Raleigh, NC

Q: What is Matthew Tarlton's NPI number?

The NPI number for Matthew Tarlton is 1154072346. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Q: What is Matthew Tarlton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Tarlton was last updated on January 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 10, 2022PECOS EnrolledAccepts Medicare Assignment

65.58/100

CMS Quality Rating

5838 SIX FORKS RD STE 100, RALEIGH, NC 27609(919) 785-3400 Get Directions Write a Review

NPPES record last updated: January 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2024, Jan 23, 2023, Jan 10, 2022 (3 updates tracked since 2022).

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About Matthew Jackson Tarlton NPPES

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

MATTHEW JACKSON TARLTON (NPI 1154072346) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-12553) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of Campbell Univ School Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1154072346

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMATTHEW JACKSON TARLTON

Location Address5838 SIX FORKS RD STE 100Raleigh, NC 27609-3893

Mailing AddressPo Box 63082Charlotte, NC 28263-9220 · (919) 785-3400 · Fax (919) 783-7778

Phone(919) 785-3400

Sole ProprietorNo

Medical School CMSCampbell Univ School Of Osteopathic MedicineGraduated 2022

Enumeration DateJanuary 10, 2022

Last NPPES UpdateJanuary 7, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2024

✔ NPI 1154072346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-12553

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.

5838 SIX FORKS RD STE 100, Raleigh, NC 27609

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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

Matthew Jackson Tarlton 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 ID9335517192

PECOS Enrollment IDI20221129000927

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

50 services19 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

40 services19 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

19 services19 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

12 services12 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340061

Location101 Manning DriveChapel Hill, NC 27514 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

65.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

47.35

Promoting Interoperability

100

Improvement Activities

Cost

37.94

Other Providers at the Same Location NPPES 14

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

SARAH LYNNERAVEN PETTY BUTLER PA-C

Physician Assistant (Surgical)