Matthew William Short, MD

Key facts

NPI

1083877005

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

MD61107739 (WA)

Practice address

10 Ros Cir
Republic, WA 99166-5002

Phone

(509) 775-3153

NPI assigned

Jul 9, 2008

Sex

Male

Sole proprietor

No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ferry County Public Hospital District No 1 Critical Access Hospital · Republic, WA · NPI 1508899816
  Medicare reassignment Care Compare group NPD WA
• Ferry County Public Hospital District No 1 Rural Health Clinic/Center · Republic, WA · NPI 1184776916
  Care Compare group NPD
• Ferry County Public Hospital District No 1 Rural Health Clinic/Center · Curlew, WA · NPI 1205988219
  Care Compare group NPD
• Ferry County Public Hospital District No 1 Skilled Nursing Facility · Republic, WA · NPI 1508086141
  Care Compare group

Hospital & facility affiliations 2

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

• Ferry County Public Hospital District No 1 Critical Access Hospital · Republic, WA · NPI 1508899816
  Care Compare affiliation Hospital
• Providence Health & Services - Washington Critical Access Hospital · Colville, WA · NPI 1003067679
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice

Education

University of Washington School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ferry County Public Hospital District No 1 (17 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ferry County Memorial Hospital Hospital · Republic, WA · CCN 501322
• Providence Mount Carmel Hospital Hospital · Colville, WA · CCN 501326

Merit-based Incentive Payment System (MIPS)

Final score

29.6 of 100 (group)

Quality

32.46

Improvement activities

0

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthewshort@fcphd.securechart.com
• Direct secure messaging: matthew.short@ferrycohealth.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 8, 2021.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1083877005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ROS CIR",
            "city": "REPUBLIC",
            "state": "WA",
            "postal_code": "991665002",
            "telephone_number": "509-775-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ROS CIR",
            "city": "REPUBLIC",
            "state": "WA",
            "postal_code": "991665002",
            "telephone_number": "509-775-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61107739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331-8907",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Republic, WA

• Republic School District
• Jennifer Jewlynn Rivera
• Quin Robinson, LMT
• Rose Valley Integrative Healthcare
• Linda June Semrau, LMHC
• Patricia Ann Short, M.D.
• Patricia Heeney Slagle, R.PH.
• Robert Mark Slagle, R.PH.
• Regina R Sopher
• Sarah KW Spark

All providers in Republic, WA · Family Medicine Physician in Washington