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LISA MICHELLE MATIACO PA-C
NPI 1154500536
Physician Assistant in Republic, WA

Active since November 01, 2007PECOS EnrolledAccepts Medicare Assignment
10 ROS CIR, REPUBLIC, WA 99166(509) 775-3153(509) 775-8929 Get Directions Write a Review

NPPES record last updated: March 21, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Michelle Matiaco Pa-c NPPES

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

LISA MICHELLE MATIACO PA-C (NPI 1154500536) is an individual physician assistant in Republic, Washington and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1154500536
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA MICHELLE MATIACOCredential: PA-C
Location Address10 ROS CIRRepublic, WA 99166-5002
Mailing Address10 Ros CirRepublic, WA 99166-5002 · (509) 775-3153 · Fax (509) 775-8929
Phone(509) 775-3153
Fax(509) 775-8929
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 1, 2007
Last NPPES UpdateMarch 21, 2013
✔ NPI 1154500536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
10 ROS CIR, Republic, WA 99166
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Lisa Michelle Matiaco Pa-c 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 ID3274698790
PECOS Enrollment IDI20140707000389
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
224 services74 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services57 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
31 services31 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
21 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99166 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
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers11 claims51 services$13.56 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.45 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers23 claims23 services$31.76 avg. paid by Medicare
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
1 supplier16 claims16 services$79.12 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers11 claims11 services$23.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

JULIA HERSHBERGER PTA
Physical Therapy Assistant
10 ROS CIR
REPUBLIC, WA 99166
Ferry County (509) 755-8400
MATTHEW WILLIAM SHORT MD
Family Medicine
10 ROS CIR
REPUBLIC, WA 99166
Ferry County (509) 775-3153
KELSEY KRUEGER
Physical Therapist
10 ROS CIR
REPUBLIC, WA 99166
Ferry County (509) 775-8400
DR. PATRICIA ANN SHORT M.D.
Internal Medicine
10 ROS CIR
REPUBLIC, WA 99166
Ferry County (509) 775-3153
DR. MELISSA MITCHELL DNP, AGPCNP-BC
Nurse Practitioner
10 ROS CIR
REPUBLIC, WA 99166
Ferry County (509) 775-3153
HANNAH KONEN DPT
Physical Therapist
10 ROS CIR
REPUBLIC, WA 99166
Ferry County (509) 779-0831
MARSHA AGUILAR-SNOW DPT
Physical Therapist
10 ROS CIR
REPUBLIC, WA 99166
Ferry County (509) 775-8400
JACK MICHAEL BLOOM DPT
Physical Therapist
10 ROS CIR
REPUBLIC, WA 99166
Ferry County (509) 775-8400

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 Lisa Matiaco's NPI number?

The NPI number for Lisa Matiaco is 1154500536. It was assigned to this individual provider in the NPPES registry on November 1, 2007.

Where is Lisa Matiaco located?

Lisa Matiaco practices at 10 Ros Cir, Republic, WA 99166. The listed phone number is (509) 775-3153.

What is Lisa Matiaco's specialty?

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

Is Lisa Matiaco enrolled in Medicare?

Yes. Lisa Matiaco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Matiaco accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Lisa Matiaco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lisa Matiaco affiliated with any hospitals?

According to CMS data, Lisa Matiaco is affiliated with Asante Three Rivers Medical Center and Asante Rogue Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Matiaco was last updated on March 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.