MEDICAL ASSOCIATES AT WILLOW PARK
NPI 1821460239
Family Medicine in Aledo, TX
About Medical Associates At Willow Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDICAL ASSOCIATES AT WILLOW PARK (NPI 1821460239) is a healthcare organization registered as a family medicine in Aledo, Texas and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Matthew Gorman Stine, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Medical Associates At Willow Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Medical Associates At Willow Park, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D1103809
Medical Associates At Willow Park · Aledo, TXFrequently 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 Matthew G. Stine, D.O., P.A.'s NPI number?
The NPI number for Matthew G. Stine, D.O., P.A. is 1821460239. It was assigned to this organization in the NPPES registry on October 25, 2015. The provider is doing business as Medical Associates At Willow Park.
Where is Matthew G. Stine, D.O., P.A. located?
Matthew G. Stine, D.O., P.A. is located at 260 Willow Bend Dr, Aledo, TX 76008. The listed phone number is (817) 441-9252.
What is Matthew G. Stine, D.O., P.A.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Matthew G. Stine, D.O., P.A. enrolled in Medicare?
Yes. Matthew G. Stine, D.O., P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Matthew G. Stine, D.O., P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Matthew G. Stine, D.O., P.A., in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Matthew G. Stine, D.O., P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D1103809) is associated with this NPI, valid through August 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Matthew G. Stine, D.O., P.A. was last updated on October 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Medical Associates At Willow Park · NPI 1821460239
Family Medicine organization in Aledo, Texas. Organization record, active in the CMS NPPES registry since October 25, 2015.
## Identity
- **NPI:** 1821460239 (Entity type: Organization)
- **Enumerated:** October 25, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Matthew G. Stine, D.o., P.a.
- **Organization subpart:** Yes (part of Matthew G. Stine, D.o., P.a.)
- **Authorized official:** Matthew Stine, OWNER/PHYSICIAN
## Practice location
- **Address:** 260 WILLOW BEND DR, Aledo, TX 76008-1188
- **Phone:** (817) 441-9252 · **Fax:** (817) 441-9282
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 25, 2015
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1821460239) · Data from the CMS NPPES public registry.