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RANDALL J MATOS DPM PC
NPI 1407876246
Podiatrist in Poteau, OK

Active since July 21, 2006
1103 DEWEY AVENUE, POTEAU, OK 74953(918) 649-3777(918) 649-3891 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Randall J Matos Dpm Pc NPPES

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

RANDALL J MATOS DPM PC (NPI 1407876246) is a healthcare organization registered as a podiatrist in Poteau, Oklahoma and active in the NPI registry since July 2006. The organization lists Randall Joseph Matos, Owner, as its authorized official.

NPPES Registry Identity

NPI1407876246
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameRANDALL J MATOS DPM PC
Location Address1103 DEWEY AVENUEPoteau, OK 74953-4411
Mailing AddressPo Box 400Poteau, OK 74953-0400 · (918) 649-3777 · Fax (918) 649-3891
Phone(918) 649-3777
Fax(918) 649-3891
Organization SubpartNo
Authorized OfficialRandall Joseph MatosOwner · (918) 649-3777
Enumeration DateJuly 21, 2006
Last NPPES UpdateMarch 4, 2011
✔ NPI 1407876246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in OK · 193
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1103 DEWEY AVENUE, Poteau, OK 74953
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Other Identifiers 4

Medicare NSC4407870001OK
Medicare PIN800522044OK
Medicaid200199110AOK
OtherDN2101OK · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall J Matos Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20070808000055Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Randall J Matos DPM PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Randall Matos, DPM
Podiatry
NPI 1780632273
1103 DEWEY AVE
Poteau, OK 74953
(918) 649-3777
✔ PECOS✔ Accepts Medicare0.3 mi

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

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 Randall J Matos Dpm PC's NPI number?

The NPI number for Randall J Matos Dpm PC is 1407876246. It was assigned to this organization in the NPPES registry on July 21, 2006.

Where is Randall J Matos Dpm PC located?

Randall J Matos Dpm PC is located at 1103 Dewey Avenue, Poteau, OK 74953. The listed phone number is (918) 649-3777.

What is Randall J Matos Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Randall J Matos Dpm PC enrolled in Medicare?

Yes. Randall J Matos Dpm PC is registered in the Medicare PECOS enrollment system.

When is Randall J Matos Dpm PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Randall J Matos Dpm PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Randall J Matos Dpm PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Randall J Matos Dpm PC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Randall J Matos Dpm PC 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 Randall J Matos Dpm PC was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.