Individual provider Active NPI

David Lee Matlock, M.D.

  • Emergency Medicine Physician
  • Springfield, MO
National Provider Identifier
1356543706
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2011032953 Issued in MO
Practice address
1235 E Cherokee St
Springfield, MO 65804-2203
Phone
(417) 820-2115
Fax
(417) 820-5344
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2011032953 MO Primary
Emergency Medicine Physician 207P00000X 125-051081 IL
Emergency Medicine Physician 207P00000X D0103832 MD

Addresses

Primary practice location

1235 E Cherokee St
Springfield, MO 65804-2203

Mailing address

PO Box 504274
Saint Louis, MO 63150-4274
Phone (417) 820-6128

Other identifiers 2

IdentifierTypeStateIssuer
440552485OtherMOTRICARE
1356543706MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, CO, KS, CA, OK, MD, DC, TX8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20120213000400 MO Practitioner - Emergency Medicine 7113089525 Reassigns benefits to 1 organization
I20230726003774 CO Practitioner - Emergency Medicine 7113089525 Reassigns benefits to 3 organizations
I20230831002575 KS Practitioner - Emergency Medicine 7113089525 Reassigns benefits to 2 organizations
I20240214003537 CA Practitioner - Emergency Medicine 7113089525 Reassigns benefits to 5 organizations
I20250710003613 OK Practitioner - Emergency Medicine 7113089525 Reassigns benefits to 1 organization
I20250828002153 MD Practitioner - Emergency Medicine 7113089525 Reassigns benefits to 2 organizations
I20250828002516 DC Practitioner - Emergency Medicine 7113089525 Reassigns benefits to 1 organization
I20251125001447 TX Practitioner - Emergency Medicine 7113089525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Tulane University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Emergency Physicians PAGroup PAC ID 7416840574, 12 clinicians

Practice addresses (Care Compare)

2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (409) 986-7757

Hospital & facility affiliations

  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018
  • CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-051081ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Chester River Health Center CurrentSince Oct 1, 2025 Accepting new patients
Chester River Hospital Center Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Mission Viejo Emergency Medical Associates Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Brazos Valley Emergency Physicians PA Emergency Medicine CurrentSince Sep 15, 2025 Accepting new patients
Mount Eddy Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Sep 13, 2024 Accepting new patients
Bryan Emergency Physicians PA Emergency Medicine CurrentSince Sep 15, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 14, 2025 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine Current Accepting new patients
Golden State Emergency Physicians Inc Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 14, 2025 Accepting new patients
Emergency Medicine Physicians of Tulsa County, LLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Victory Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jan 27, 2024 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jul 24, 2023 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine Current Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Jun 1, 2023 Accepting new patients
Chester River Hospital Center Current Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Jul 14, 2025 Accepting new patients
Mission Viejo Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Feb 21, 2024 Accepting new patients
Jane Phillips Memorial Medical Center, Inc. Past Accepting new patients

Locations

31872 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-1311

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

914 Pine St
Mount Shasta, CA 96067
Phone (503) 926-6111

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

1101 Woodson Dr
Caldwell, TX 77836
Phone (409) 567-3245

100 W Cross St
Madisonville, TX 77864
Phone (409) 348-2631

210 S Judson St
Navasota, TX 77868
Phone (936) 825-6585

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: dmatlock690517@hisp.ehr.sutterhealth.org
  • Direct secure messaging: dmatlock1311941@direct.umm.edu

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 8

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1356543706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504274",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631504274",
            "telephone_number": "417-820-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E CHEROKEE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042203",
            "telephone_number": "417-820-2115",
            "fax_number": "417-820-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2011032953",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125-051081",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0103832",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "440552485",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356543706",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.