EVAN J MATHESON
NPI 1760677686
Clinic/Center in Provo, UT

Q: What is Evan J Matheson's NPI number?

The NPI number for Evan J Matheson is 1760677686. It was assigned to this organization in the NPPES registry on September 13, 2007.

Q: What is Evan J Matheson's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Evan J Matheson was last updated on January 31, 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.

Active since September 13, 2007

745 N 500 W # 200, PROVO, UT 84601(801) 375-9292(801) 375-9290 Get Directions Write a Review

NPPES record last updated: January 31, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Evan J Matheson NPPES

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

EVAN J MATHESON (NPI 1760677686) is a healthcare organization registered as a clinic/center in Provo, Utah and active in the NPI registry since September 2007. The organization lists Evan J Matheson, Owner, as its authorized official.

NPPES Registry Identity

NPI1760677686

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameEVAN J MATHESON

Location Address745 N 500 W # 200Provo, UT 84601-1472

Mailing Address745 N 500 W # 200Provo, UT 84601-1472 · (801) 375-9292 · Fax (801) 375-9290

Phone(801) 375-9292

Fax(801) 375-9290

Organization SubpartNo

Authorized OfficialEvan J MathesonOwner · (801) 375-9292

Enumeration DateSeptember 13, 2007

Last NPPES UpdateJanuary 31, 2011

✔ NPI 1760677686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

745 N 500 W # 200, Provo, UT 84601

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Other Identifiers 1

Medicare PIN000055779UT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan J Matheson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Evan J Matheson, which bills Medicare for the services this clinician delivers.

Clinician (1)

Evan Matheson, M.D.

Allergy/Immunology

NPI 1649251646

745 N 500 W #200
Provo, UT 84601

(801) 375-9292

✔ PECOS✔ Accepts Medicare1.2 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 Evan J Matheson's NPI number?

The NPI number for Evan J Matheson is 1760677686. It was assigned to this organization in the NPPES registry on September 13, 2007.

Where is Evan J Matheson located?

Evan J Matheson is located at 745 N 500 W # 200, Provo, UT 84601. The listed phone number is (801) 375-9292.

What is Evan J Matheson's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Evan J Matheson enrolled in Medicare?

Yes. Evan J Matheson is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evan J Matheson?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Allergy/Immunology) reassigns their Medicare billing to Evan J Matheson. 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.

When was this NPI record last updated?

The NPPES record for Evan J Matheson was last updated on January 31, 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.