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PAUL M MATIACO DO
NPI 1285291047
Family Medicine in West Richland, WA

Active since May 28, 2019PECOS EnrolledAccepts Medicare Assignment
83.05/100
CMS Quality Rating
3950 KEENE RD, WEST RICHLAND, WA 99353(509) 942-3130(509) 628-8335 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, May 28, 2019 (2 updates tracked since 2019).

About Paul M Matiaco Do NPPES

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

PAUL M MATIACO DO (NPI 1285291047) is an individual family medicine provider in West Richland, Washington, licensed in Washington (OP61192427) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Kadlec Regional Medical Center, and maintains a secondary practice location in Richland.

NPPES Registry Identity

NPI1285291047
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL M MATIACOCredential: DO
Location Address3950 KEENE RDWest Richland, WA 99353-4901
Mailing Address550 Gage Blvd Ste 101Richland, WA 99352-9532 · (509) 942-2516 · Fax (509) 942-2527
Phone(509) 942-3130
Fax(509) 628-8335
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 28, 2019
Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1285291047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · OP61192427
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3950 KEENE RD, West Richland, WA 99353
Open in Google Maps ↗

Secondary Practice Location 1

Location 1940 Northgate DrRichland, WA 99352 · Phone (509) 942-2516 · Fax (509) 942-2527

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Paul M Matiaco Do 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 ID7416282793
PECOS Enrollment IDI20220720001916
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 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.
405 services208 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.
139 services107 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.
71 services71 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
28 services28 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
25 services24 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services16 patients

Hospital Affiliations CMS Care Compare

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

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99353 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
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

83.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.47
Promoting Interoperability100
Improvement Activities40
Cost67.03

Referred Medical Equipment & Supplies CMS DME claims

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
5 suppliers14 claims24 services$4.12 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 18

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

DR. JEFFREY KARL KIKI D.O.
Family Medicine
3950 KEENE RD
WEST RICHLAND, WA 99353
Benton County (509) 942-3627
HOLLYN SUE JOHANNA CROWE D.O.
Pediatrics
3950 KEENE RD
WEST RICHLAND, WA 99353
Benton County (509) 942-3130
ATHALIA L CLOWER PA-C
Physician Assistant (Medical)
3950 KEENE RD
WEST RICHLAND, WA 99353
Benton County (509) 942-3130
KATHERINE SCHWARTZ SLETTVET ARNP
Nurse Practitioner (Pediatrics)
3950 KEENE RD
WEST RICHLAND, WA 99353
Benton County (509) 942-3130
RYAN GLENN OSTLER DO
Family Medicine
3950 KEENE RD
WEST RICHLAND, WA 99353
Benton County (509) 942-3130
KRISTI LYNN GUZMAN ARNP
Nurse Practitioner (Family)
3950 KEENE RD
RICHLAND, WA 99353
Benton County (509) 942-3130
DIANE L GOODNIGHT MSW
Social Worker
3950 KEENE RD
WEST RICHLAND, WA 99353
Benton County (509) 942-3130
MRS. MEGANNE MICHELLE AUSTIN PA-C
Physician Assistant
3950 KEENE RD
WEST RICHLAND, WA 99353
Benton County (509) 942-3130

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 Paul Matiaco's NPI number?

The NPI number for Paul Matiaco is 1285291047. It was assigned to this individual provider in the NPPES registry on May 28, 2019.

Where is Paul Matiaco located?

Paul Matiaco practices at 3950 Keene Rd, West Richland, WA 99353. The listed phone number is (509) 942-3130.

What is Paul Matiaco's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul Matiaco enrolled in Medicare?

Yes. Paul 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 Paul Matiaco accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Paul 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 Paul Matiaco affiliated with any hospitals?

According to CMS data, Paul Matiaco is affiliated with Kadlec Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Matiaco was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.