GORDON PATRICK MATTIMOE FNP-C
NPI 1497007116
Nurse Practitioner - Family in Andrews, TX

Q: What is Gordon Mattimoe's NPI number?

The NPI number for Gordon Mattimoe is 1497007116. It was assigned to this individual provider in the NPPES registry on October 4, 2012.

Q: What is Gordon Mattimoe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Gordon Mattimoe was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 04, 2012PECOS Enrolled

208 NW 2ND ST, ANDREWS, TX 79714(432) 524-1441(432) 524-1461 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Gordon Patrick Mattimoe Fnp-c NPPES

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

GORDON PATRICK MATTIMOE FNP-C (NPI 1497007116) is an individual family provider in Andrews, Texas, licensed in Texas (709909) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Permian Regional Medical Center Andrews County Ho, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1497007116

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameGORDON PATRICK MATTIMOECredential: FNP-C

Location Address208 NW 2ND STAndrews, TX 79714-6308

Mailing Address8228 San Antonio StOdessa, TX 79765-8527 · (432) 524-1441 · Fax (432) 524-1461

Phone(432) 524-1441

Fax(432) 524-1461

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateOctober 4, 2012

Last NPPES UpdateSeptember 29, 2025

NPPES CertifiedSeptember 29, 2025

✔ NPI 1497007116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 709909

208 NW 2ND ST, Andrews, TX 79714

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gordon Patrick Mattimoe Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739326174

PECOS Enrollment IDI20130502000435

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 Gordon Mattimoe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Andrews County

Same address

Family Medicine

208 NW 2ND ST
Andrews, TX 79714

Reassigned Medicare billing, Texas enrollment
2 clinicians in this Medicare group

NPI 1861488694 (432) 524-1434

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

Hospital Affiliations CMS Care Compare

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

Permian Regional Medical Center Andrews County Ho

Acute Care Hospitals · Andrews, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450144

Location720 Hospital DriveAndrews, TX 79714 · Andrews County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79714 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.

Other Providers at the Same Location NPPES 8

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

LINDA KAY TOLSON RN

Registered Nurse (Case Management)