Active NPI
Mathew Jack Coker, M.D.
- Orthopaedic Surgery Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- E4069
- Practice address
- 3317 N Wimberly Dr
Fayetteville, AR 72703-4056 - Phone
- (479) 521-2752
- Fax
- (479) 444-6942
- NPI assigned
- Feb 7, 2006
- Last updated
- May 30, 2023
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | E4069 | AR | Primary |
Addresses
Primary practice location
3317 N Wimberly Dr
Fayetteville, AR 72703-4056
Mailing address
PO Box 1608
Fayetteville, AR 72702-1608
Phone (479) 521-2752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154432001 | Medicaid | AR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | matthew.coker.1@18403.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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
- Orthopedic Surgery
- Education
- University of Arkansas College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
603 -2 N Progress Ave
600 Ozark Orthopaedics
Siloam Springs, AR 72761-4610
Phone (479) 524-6188
Hospital & facility affiliations
- Elite Home Health
- Washington Regional Medical Center
- Siloam Springs Regional Hospital
- Northwest Medical Center-Springdale
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.41 of 100
- Quality
- 79.26
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 12 |
| Knee replacement | 27 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4069 | AR | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Orthopaedics, PA | Orthopaedic Surgery | Current | Accepting new patients |
| Ozark Orthopaedics, P.a. | Orthopaedic Surgery | Current | Accepting new patients |
Locations
3317 N Wimberly Dr
Fayetteville, AR 72703
Phone (479) 521-2752
603-2 N Progress Ave
Ste 600
Siloam Springs, AR 72761
Phone (479) 524-6188
Interoperability endpoints
- https://api.platform.athenahealth.com/18403/brand/1/csg/1/fhir/r4
- matthew.coker.1@18403.direct.athenahealth.com
- mcoker23152@washingtonregional.direct-ci.com
Organizations & group practices 2
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 Ozark Orthopaedic and Sports Medicine
- Orthopaedic Surgery Physician
- Fayetteville, AR
- NPI 1649210584
-
- Orthopaedic Surgery Physician
- Siloam Springs, AR
- NPI 1255164570
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Medical Center
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
-
dba Siloam Springs Regional Hospital
- General Acute Care Hospital
- Siloam Springs, AR
- NPI 1902051816
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1053384545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1608",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727021608",
"telephone_number": "479-521-2752",
"fax_number": "479-444-6942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3317 N WIMBERLY DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034056",
"telephone_number": "479-521-2752",
"fax_number": "479-444-6942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COKER",
"first_name": "MATHEW",
"middle_name": "JACK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AR",
"license": "E4069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154432001",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "matthew.coker.1@18403.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "Athena",
"address_1": "3317 N Wimberly Dr",
"city": "Fayetteville",
"state": "AR",
"country_code": "US",
"postal_code": "727034056",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.