1. Home
  2. Directory
  3. Oregon
  4. Lake Oswego
  5. Dentist
  6. NPI Profile

DR. MATT JAMES HOIDAL D.D.S., M.S.
NPI 1164605259
Dentist - Periodontics in Lake Oswego, OR

Active since December 11, 2007PECOS EnrolledCLIA 38D2202291 · Waiver
300 OSWEGO POINTE DR, STE 106, LAKE OSWEGO, OR 97034(503) 635-3584(503) 635-6813 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Matt James Hoidal D.d.s., M.s. NPPES

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

DR. MATT JAMES HOIDAL D.D.S., M.S. (NPI 1164605259) is an individual periodontics provider in Lake Oswego, Oregon, licensed in Oregon (D9075) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through November 24, 2026.

NPPES Registry Identity

NPI1164605259
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MATT JAMES HOIDALCredential: D.D.S., M.S.
Location Address300 OSWEGO POINTE DR, STE 106Lake Oswego, OR 97034-3254
Mailing Address300 Oswego Pointe Dr, Ste 106Lake Oswego, OR 97034-3254 · (503) 635-3584 · Fax (503) 635-6813
Phone(503) 635-3584
Fax(503) 635-6813
Sole ProprietorYes
Enumeration DateDecember 11, 2007
Last NPPES UpdateSeptember 26, 2012
✔ NPI 1164605259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in OR · D9075
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
300 OSWEGO POINTE DR, Lake Oswego, OR 97034
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matt James Hoidal D.d.s., M.s. 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2202291

Matt J Hoidal, Dds, Ms, PC · Lake Oswego, OR
Active · expires Nov 24, 2026
CLIA Number38D2202291
Laboratory TypePractitioner Other
Certificate Effective DateNovember 25, 2024
Certificate Expiration DateNovember 24, 2026
Laboratory DirectorMatt J. Hoidal
Laboratory Phone(503) 635-3584
Laboratory LocationMatt J Hoidal, Dds, Ms, PC300 Oswego Pointe Dr, Ste 106, Lake Oswego, OR 97034
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97034 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

Other Providers at the Same Location NPPES

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

MATT HOIDAL, DDS, MS, PC
Clinic/Center (Dental)
300 OSWEGO POINTE DR, STE 106
LAKE OSWEGO, OR 97034
Clackamas County (503) 635-3584

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 Matt Hoidal's NPI number?

The NPI number for Matt Hoidal is 1164605259. It was assigned to this individual provider in the NPPES registry on December 11, 2007.

Where is Matt Hoidal located?

Matt Hoidal practices at 300 Oswego Pointe Dr Ste 106, Lake Oswego, OR 97034. The listed phone number is (503) 635-3584.

What is Matt Hoidal's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Matt Hoidal enrolled in Medicare?

Yes. Matt Hoidal is registered in the Medicare PECOS enrollment system.

Does Matt Hoidal hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2202291) is associated with this NPI, valid through November 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Matt Hoidal was last updated on September 26, 2012. 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.