DR. ROBERT C MATLOCK MD
NPI 1265479273
Family Medicine - Sleep Medicine in Waco, TX

Q: What is Robert Matlock's NPI number?

The NPI number for Robert Matlock is 1265479273. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Q: What is Robert Matlock's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Q: When was this NPI record last updated?

The NPPES record for Robert Matlock was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 31, 2006PECOS EnrolledAccepts Medicare Assignment

74.33/100

CMS Quality Rating

305 LONDONDERRY DR, WACO, TX 76712(254) 537-6464(254) 537-6466 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Robert C Matlock Md NPPES

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

DR. ROBERT C MATLOCK MD (NPI 1265479273) is an individual sleep medicine provider in Waco, Texas, licensed in Texas (K3613) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of University Of Texas Medical Branch At Galveston (1996).

NPPES Registry Identity

NPI1265479273

Entity TypeIndividualMale

Primary Taxonomy207QS1201X

Provider Legal NameDR. ROBERT C MATLOCKCredential: MD

Location Address305 LONDONDERRY DRWaco, TX 76712-7929

Mailing AddressPo Box 18962Belfast, ME 04915-4084 · (800) 566-5050 · Fax (254) 537-6869

Phone(254) 537-6464

Fax(254) 537-6466

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1996

Enumeration DateMay 31, 2006

Last NPPES UpdateJanuary 30, 2017

✔ NPI 1265479273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS1201X

License✔ Licensed in TX · K3613

Definition

A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedSpecialistTaxonomy 174400000X · License K3613 (TX)

Also ListedFamily MedicineTaxonomy 207Q00000X · License K3613 (TX)

305 LONDONDERRY DR, Waco, TX 76712

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Other Identifiers 3

Medicare PIN325997YK2TTX

Medicare UPING67732TX

Medicaid124288506TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Robert C Matlock Md 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 ID2264580273

PECOS Enrollment IDI20090501000045

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 9

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 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.

263 services225 patients

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.

233 services184 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

137 services126 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

110 services107 patients

Sleep study including heart rate, breathing, and sleep time 95800

A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.

99 services99 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.

49 services49 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Providence

Acute Care Hospitals · Waco, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450042

Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Limestone Medical Center

Critical Access Hospitals · Groesbeck, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451303

Location701 Mcclintic DriveGroesbeck, TX 76642 · Limestone County

Emergency services

Hamilton General Hospital

Critical Access Hospitals · Hamilton, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451392

Location400 N Brown, Building 1Hamilton, TX 76531 · Hamilton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

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.

74.33/100

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

Scored as part of a group practice

Quality

72.69

Promoting Interoperability

100

Improvement Activities

Cost

41.75

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%43 patients

Advance Care Plan

47%887 patients2/55-star benchmark: 100%

Breast Cancer Screening

48%572 patients3/55-star benchmark: 93%

Cervical Cancer Screening

32%546 patients2/55-star benchmark: 98%

Chlamydia Screening for Women

17%48 patients

Closing the Referral Loop: Receipt of Specialist Report

21%165 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

46%1,456 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

75%1,120 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Antiplatelet Therapy

72%111 patients3/55-star benchmark: 100%

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation

18%263 patients1/55-star benchmark: 100%

Diabetes: Eye Exam

19%459 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

44%459 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

94%3,267 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

39%865 patients2/55-star benchmark: 100%

HIV Screening

9%1,580 patients1/55-star benchmark: 60%

Non-Recommended Cervical Cancer Screening in Adolescent Females

Lower rates are better for this measure.

14%21 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

27%2,123 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

30%1,629 patients2/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

24%1,385 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 76% · 1,951 patients

Patients screened: 80% · 1,951 patients

60%203 patients3/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients screened: 32% · 721 patients

30%721 patients

Screening for Osteoporosis for Women Aged 65-85 Years of Age

43%368 patients2/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

80%830 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 4% · 878 patients

Patients totalRate: 16% · 909 patients

14%909 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 20

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

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