Matthew Timothy Porter, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26022 Issued in NE

Practice address

1081 E 18TH St
Rolla, MO 65401-3398

Phone

(573) 426-6712

Fax

(573) 426-6723

NPI assigned

Jan 26, 2009

Last updated

Jun 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

General Practice

Education

Rush Medical College of Rush University, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Central Missouri Community Health CenterGroup PAC ID 1355513581, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phelps Health Home Health and Hospice Home health agency, Rolla, MO, CCN 267555
• Phelps County Regional Medical Center Hospital, Rolla, MO, CCN 260017

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: matthew.porter@ychc.eclinicaldirectplus.com

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.

• South Central Missouri Community Health Center

  dba Four Rivers Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1164669172
  Medicare reassignment Care Compare group
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Family Medicine

  NPD (past)

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

• Pcrmc-Health Services, Inc.

  dba Phelps Health Home Health & Hospice

  • Home Health Agency
  • Rolla, MO
  • NPI 1952304578
  Care Compare affiliation
• Phelps County Regional Medical Center

  dba Phelps Health Medical Group

  • Rural Health Clinic/Center
  • Salem, MO
  • NPI 1194077701

  Hospital

  Care Compare affiliation
• Phelps County Regional Medical Center

  dba Phelps Health

  • Rehabilitation Hospital Unit
  • Rolla, MO
  • NPI 1346287455
  Care Compare affiliation
• Phelps County Regional Medical Center

  dba Phelps Health

  • General Acute Care Hospital
  • Rolla, MO
  • NPI 1891766051
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1477791606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 EAST 18TH STREET",
            "address_2": "PO BOX 458",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654018115",
            "telephone_number": "573-426-6712",
            "fax_number": "573-426-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 E 18TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013398",
            "telephone_number": "573-426-6712",
            "fax_number": "573-426-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MATTHEW",
        "middle_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "26022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood Great Rivers-Missouri
• Allan L Plapp, CRNA
• Shelbey Dawn Porod, FNP-BC
• Scott Portell, DPT
• Ethan James Porter, DO
• Michael Sterling Potter, MD
• Rebekah Jane Pounds, DPT
• Preferred Family Healthcare
• Presbyterian Manors, Inc. (Rolla Presbyterian Manor)
• Prorehab PC (Athletico Physical Therapy)

• Family Medicine Physician in Rolla, MO
• Providers in Rolla, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.