Individual provider Active NPI

Mathew Jack Coker, M.D.

  • Orthopaedic Surgery Physician
  • Fayetteville, AR
National Provider Identifier
1053384545
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E4069 Issued in AR
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
154432001MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629000028 AR Practitioner - Orthopedic Surgery 3072599133 Reassigns benefits to 1 organization

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
Ozark Orthopaedics, P.a.Group PAC ID 2860477189, 57 clinicians

Practice addresses (Care Compare)

603 -2 N Progress Ave
600 Ozark Orthopaedics
Siloam Springs, AR 72761-4610
Phone (479) 524-6188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.41 of 100Reported as apm
Quality
79.26
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement12
Knee replacement27
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E4069ARMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Orthopaedics, PA Orthopaedic Surgery CurrentSince Aug 1, 2004 Accepting new patients
Ozark Orthopaedics, P.a. Orthopaedic Surgery CurrentSince Aug 1, 2004 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

  • FHIR API: https://api.platform.athenahealth.com/18403/brand/1/csg/1/fhir/r4
  • Direct secure messaging: matthew.coker.1@18403.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.