NPIMap

Individual provider Active NPI

Robin L Matson, MD

  • Family Medicine Physician
  • Kingfisher, OK
National Provider Identifier
1154378644
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18975 Issued in OK
Practice address
1100 Hospital Cir
Kingfisher, OK 73750-5001
Phone
(405) 375-2350
Fax
(405) 375-2368
NPI assigned
May 28, 2006
Last updated
Jun 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18975 OK Primary

Addresses

Primary practice location

1100 Hospital Cir
Kingfisher, OK 73750-5001

Mailing address

PO Box 844737
Dallas, TX 75284-4737
Phone (903) 416-1726

Other identifiers 1

IdentifierTypeStateIssuer
100131500CMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041216000342 OK Practitioner - Family Practice 3971569054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kingfisher Clinic PLLCGroup PAC ID 9537487483, 3 clinicians

Practice addresses (Care Compare)

1100 Hospital Cir
Kingfisher, OK 73750-5001
Phone (405) 375-2350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
15.88 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
52.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions16
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kingfisher Clinic PLLC Family Medicine CurrentSince Feb 11, 2015 Accepting new patients
Summit Medical Center Past Accepting new patients
Deaconess Physician Services LLC Family Medicine Past Accepting new patients
Kingfisher Regional Hospital Past Accepting new patients

Locations

1100 Hospital Cir
Kingfisher, OK 73750
Phone (405) 375-2350

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e0aed929-e53b-4d96-a40c-36cb9539f12f/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1154378644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844737",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844737",
            "telephone_number": "903-416-1726",
            "fax_number": "903-416-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HOSPITAL CIR",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737505001",
            "telephone_number": "405-375-2350",
            "fax_number": "405-375-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSON",
        "first_name": "ROBIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "18975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100131500C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingfisher, OK

Sources for this page

Verify at the official NPI Registry.