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DR. EVAN MATTHYSSE D.D.S.
NPI 1205296803
Dentist - Oral and Maxillofacial Surgery in Austin, TX

Active since February 25, 2016PECOS Enrolled
4419 FRONTIER TRL STE 104, AUSTIN, TX 78745(917) 817-0803 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2024, Nov 9, 2017, Feb 25, 2016 (3 updates tracked since 2016).

About Dr. Evan Matthysse D.d.s. NPPES

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

DR. EVAN MATTHYSSE D.D.S. (NPI 1205296803) is an individual oral and maxillofacial surgery provider in Austin, Texas, licensed in Texas (36043) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205296803
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. EVAN MATTHYSSECredential: D.D.S.
Location Address4419 FRONTIER TRL STE 104Austin, TX 78745-1567
Mailing Address4419 Frontier Trl Ste 104Austin, TX 78745-1567 · (917) 817-0803
Phone(917) 817-0803
Sole ProprietorYes
Enumeration DateFebruary 25, 2016
Last NPPES UpdateJuly 23, 20243 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1205296803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 36043
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 22DI02685300 (NJ)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4419 FRONTIER TRL STE 104, Austin, TX 78745
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Dr. Evan Matthysse D.d.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78745 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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 4

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

CELEBRATE EMERGENCY DENTAL LLC
Clinic/Center (Dental)
4419 FRONTIER TRL STE 104
AUSTIN, TX 78745
Travis County (737) 747-4646
DR. PATRICK CAMPBELL DMD
Dentist (General Practice)
4419 FRONTIER TRL STE 104
AUSTIN, TX 78745
Travis County (737) 747-6868
AUSTIN DENTAL CARE
Clinic/Center (Dental)
4419 FRONTIER TRL STE 104
AUSTIN, TX 78745
Travis County (512) 444-1133
DR. JAMES JONG-HYUK LEE DDS
Dentist (General Practice)
4419 FRONTIER TRL STE 104
AUSTIN, TX 78745
Travis County (737) 747-4646

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 Evan Matthysse's NPI number?

The NPI number for Evan Matthysse is 1205296803. It was assigned to this individual provider in the NPPES registry on February 25, 2016.

Where is Evan Matthysse located?

Evan Matthysse practices at 4419 Frontier Trl Ste 104, Austin, TX 78745. The listed phone number is (917) 817-0803.

What is Evan Matthysse's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Evan Matthysse enrolled in Medicare?

Yes. Evan Matthysse is registered in the Medicare PECOS enrollment system.

What insurance does Evan Matthysse accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 4 other insurers list Evan Matthysse 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.

When was this NPI record last updated?

The NPPES record for Evan Matthysse was last updated on July 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.