Individual provider Active NPI

Matthew B. Walter, M.D.

  • Pulmonary Disease Physician
  • Eugene, OR
National Provider Identifier
1093722217
Registry record updated Oct 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD21040 Issued in OR
Practice address
3125 Chad Dr Ste 100
Eugene, OR 97408-7440
Phone
(541) 687-1712
Fax
(541) 687-7943
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD21040 OR
Pulmonary Disease Physician 207RP1001X MD21040 OR Primary

Addresses

Primary practice location

3125 Chad Dr Ste 100
Eugene, OR 97408-7440

Mailing address

3125 Chad Dr Ste 100
Eugene, OR 97408-7440
Phone (541) 687-1712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20100518000871 OR Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 3870622509 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of Washington School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Physicians Intensivists of Washington PLLCGroup PAC ID 5395018808, 81 clinicians
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians

Practice addresses (Care Compare)

1460 G St
Springfield, OR 97477-4112
Phone (541) 726-4400

3125 Chad Dr
Suite 100
Eugene, OR 97408-7440
Phone (541) 687-1712

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-7300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21040ORMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group CurrentSince Feb 19, 2024 Accepting new patients
Sound Physicians Intensivists of Washington PLLC Critical Care Medicine CurrentSince Feb 15, 2023 Accepting new patients
Peacehealth CurrentSince Nov 21, 2022 Accepting new patients
Peacehealth Medical Group CurrentSince Feb 19, 2024 Accepting new patients
Peacehealth Past Accepting new patients

Locations

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

1200 Hilyard St
Ste S565
Eugene, OR 97401
Phone (503) 687-1712

3125 Chad Dr
Ste 100
Eugene, OR 97408
Phone (541) 687-1712

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154

3355 Riverbend Dr
Ste 240
Springfield, OR 97477
Phone (541) 687-1712

Interoperability endpoints

  • Direct secure messaging: mwalte01@yourcarecommunity.org

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665792000000",
    "number": "1093722217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 CHAD DR STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087440",
            "telephone_number": "541-687-1712",
            "fax_number": "541-687-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 CHAD DR STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087440",
            "telephone_number": "541-687-1712",
            "fax_number": "541-687-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "MATTHEW",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-10-15",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OR",
            "license": "MD21040",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OR",
            "license": "MD21040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.