Active NPI
Angus Duncan Matheson, M.D.
- Family Medicine Physician
- Willits, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A070233
- Practice address
- 1245 S Main St
Willits, CA 95490-4305 - Phone
- (707) 459-6861
- Fax
- (707) 459-3057
- NPI assigned
- Jan 24, 2006
- Last updated
- Apr 16, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A070233 | CA | Primary |
Addresses
Primary practice location
1245 S Main St
Willits, CA 95490-4305
Mailing address
1245 S Main St
Willits, CA 95490-4305
Phone (707) 459-6861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, Davis School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1245 S Main St
Willits, CA 95490-4305
Phone (707) 459-6861
Hospital & facility affiliations
- Adventist Health Home Care Services
- Silverline Staff Home Health
- Adventist Health Howard Memorial
- Adventist Health Ukiah Valley
- Providence Santa Rosa Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.41 of 100
- Quality
- 86.32
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 66.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A070233 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John R Glyer D Mills Matheson & Margaret Arner MDS PTR | Current | Accepting new patients |
Locations
1245 S Main St
Willits, CA 95490
Phone (707) 459-6861
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Baechtel Creek Medical Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest (25%) General Partnership Interest |
Sep 14, 2010 Sep 14, 2010 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Baechtel Creek Medical Clinic
- Rural Health Clinic/Center
- Willits, CA
- NPI 1568525400
5% Or Greater Direct Ownership Interest, General Partnership Interest
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Baechtel Creek Medical Clinic
- Rural Health Clinic/Center
- Willits, CA
- NPI 1568525400
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
dba Adventist Health Ukiah Valley
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
-
dba Adventist Health Home Care Services
- Home Health Agency
- Willits, CA
- NPI 1467630764
-
dba Adventist Health Howard Memorial
- Critical Access Hospital
- Willits, CA
- NPI 1356339543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334534400000",
"number": "1053381939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 S MAIN ST",
"city": "WILLITS",
"state": "CA",
"postal_code": "954904305",
"telephone_number": "707-459-6861",
"fax_number": "707-459-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 S MAIN ST",
"city": "WILLITS",
"state": "CA",
"postal_code": "954904305",
"telephone_number": "707-459-6861",
"fax_number": "707-459-3057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHESON",
"first_name": "ANGUS",
"middle_name": "DUNCAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2012-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A070233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willits, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.