MATTHEW T STARK PA-C.
NPI 1174700934
Physician Assistant - Medical in Roseburg, OR

Q: What is Matthew Stark's NPI number?

The NPI number for Matthew Stark is 1174700934. It was assigned to this individual provider in the NPPES registry on January 23, 2008.

Q: What is Matthew Stark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Stark was last updated on June 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 23, 2008PECOS EnrolledAccepts Medicare Assignment

1937 W HARVARD AVE, ROSEBURG, OR 97471(541) 677-7200(541) 229-3309 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Matthew T Stark Pa-c. NPPES

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

MATTHEW T STARK PA-C. (NPI 1174700934) is an individual medical provider in Roseburg, Oregon and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1174700934

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMATTHEW T STARKCredential: PA-C.

Location Address1937 W HARVARD AVERoseburg, OR 97471-2720

Mailing Address2570 Nw Edenbower Blvd Ste 100Roseburg, OR 97471-6214 · (541) 677-7200 · Fax (541) 229-3309

Phone(541) 677-7200

Fax(541) 229-3309

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJanuary 23, 2008

Last NPPES UpdateJune 11, 2020

NPPES CertifiedJune 11, 2020

✔ NPI 1174700934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1937 W HARVARD AVE, Roseburg, OR 97471

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Other Identifiers 1

Medicaid500652217OR

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

Matthew T Stark 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 ID1557515368

PECOS Enrollment IDI20130201000470

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.

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number380027

Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers20 claims54 services$6.70 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers13 claims13 services$41.83 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers11 claims11 services$74.62 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers14 claims14 services$23.89 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers15 claims78 services$3.09 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers17 claims17 services$7.67 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 20

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

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