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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ETHAN JAMES MATTHEW MD
NPI 1336889559
Dermatology in Casper, WY

Active since March 29, 2022PECOS Enrolled
6631 E 2ND ST STE 100, CASPER, WY 82609(307) 243-1155(307) 243-1199 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 25, 2026, Jun 2, 2026 (2 updates tracked since 2026).

About Ethan James Matthew Md NPPES

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

ETHAN JAMES MATTHEW MD (NPI 1336889559) is an individual dermatology provider in Casper, Wyoming, licensed in Wyoming (19102A) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1336889559
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameETHAN JAMES MATTHEWCredential: MD
Location Address6631 E 2ND ST STE 100Casper, WY 82609-4355
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Phone(307) 243-1155
Fax(307) 243-1199
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 29, 2022
Last NPPES UpdateSeptember 25, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1336889559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in WY · 19102A
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
6631 E 2ND ST STE 100, Casper, WY 82609
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Secondary Practice Locations 2

Location 11119 E 3rd StCasper, WY 82601-2905 · Phone (307) 266-2772 · Fax (307) 266-2076
Location 2700 E Center StDouglas, WY 82633-2446 · Phone (307) 243-1477 · Fax (307) 243-1488

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan James Matthew Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719442938
PECOS Enrollment IDI20260717004119
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.

Medicare Billing Reassignment

Medicare enrollment records show Ethan Matthew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Forefront Dermatology, S.C.
4.3 mi
Dermatology
1119 E 3RD ST
Casper, WY 82601
  • Reassigned Medicare billing, Wyoming enrollment
  • Medicare enrollment name: Forefront Dermatology Sc
  • 5 clinicians in this Medicare group
NPI 1982429148 (307) 266-2772

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82609 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
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.

FOREFRONT DERMATOLOGY, S.C.
Dermatology
6631 E 2ND ST STE 100
CASPER, WY 82609
Natrona County (307) 243-1155

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 Ethan Matthew's NPI number?

The NPI number for Ethan Matthew is 1336889559. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Ethan Matthew located?

Ethan Matthew practices at 6631 E 2nd St Ste 100, Casper, WY 82609. The listed phone number is (307) 243-1155.

What is Ethan Matthew's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Ethan Matthew enrolled in Medicare?

Yes. Ethan Matthew is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ethan Matthew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Matthew reassigns Medicare benefits to Forefront Dermatology, S.C. (Casper, WY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Matthew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ethan Matthew accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Ethan Matthew 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 Ethan Matthew was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.