Individual provider Active NPI

Matthew Charles Porter, MD

  • Interventional Pain Medicine Physician
  • Longview, TX
National Provider Identifier
1598811986
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
S7315 Issued in TX
Practice address
802 Medical Cir Ste 300
Longview, TX 75605-5204
Phone
(903) 758-2746
Fax
(903) 553-7755
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X S7315 TX Primary
Family Medicine Physician 207Q00000X MT211621 PA

Addresses

Primary practice location

802 Medical Cir Ste 300
Longview, TX 75605-5204

Mailing address

323 E Hawkins Pkwy Ste a
Longview, TX 75605-8162
Phone (903) 758-2746

Other practice location 1

323 E Hawkins Pkwy Ste A
Longview, TX 75605-8162
Phone (903) 758-2746

Other practice location 2

709 Hollybrook Dr
Longview, TX 75605-2411
Phone (903) 758-2746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200717002846 TX Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 2466543160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

323 E Hawkins Pkwy
Suite a
Longview, TX 75605-8162

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT211621PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Orthopaedic Clinic Association CurrentSince Aug 1, 2020 Accepting new patients
Regional Clinics of Longview Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Diagnostic Clinic of Longview PA Family Medicine Past Accepting new patients

Locations

1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808

323 E Hawkins Pkwy
Ste A
Longview, TX 75605
Phone (903) 758-2746

802 Medical Cir
Ste 300
Longview, TX 75605
Phone (903) 315-2730

709 Hollybrook Dr
Ste 5601
Longview, TX 75605
Phone (903) 236-7560

1806 E End Blvd N
Marshall, TX 75670
Phone (903) 758-2746

Interoperability endpoints

  • Direct secure messaging: matt.porter.1@16432.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 1

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1598811986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 E HAWKINS PKWY STE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756058162",
            "telephone_number": "903-758-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MEDICAL CIR STE 300",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055204",
            "telephone_number": "903-758-2746",
            "fax_number": "903-553-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 E Hawkins Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756058162",
            "country_code": "US",
            "telephone_number": "903-758-2746",
            "fax_number": "903-758-7127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 Hollybrook Dr",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756052411",
            "country_code": "US",
            "telephone_number": "903-758-2746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "S7315",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT211621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.