Matthew Brian Rudolph, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

P8727 Issued in TX

Practice address

4002 S Loop 256 Ste B
Palestine, TX 75801-8405

Phone

(903) 731-5478

NPI assigned

Aug 14, 2009

Sex

Male

Sole proprietor

Yes

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 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

Specialty

Orthopedic Surgery

Education

Lake Erie College of Osteopathic Medicine, Erie, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Specialty PhysiciansGroup PAC ID 6305901927, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palestine Regional Medical Center Hospital, Palestine, TX, CCN 450747

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20210/brand/1/csg/22/fhir/r4

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.

• Texas Specialty Physicians

  • Family Medicine Physician
  • Palestine, TX
  • NPI 1558521179

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Etmc Physician Group Inc.

  • Cardiovascular Disease Physician
  • Tyler, TX
  • NPI 1609382662

  Single Specialty

  Medicare reassignment NPD
• Etmc Physician Group Inc.

  • Rural Health Clinic/Center
  • Chandler, TX
  • NPI 1235706581
  NPD
• Texas Specialty Physicians

  • Orthopaedic Surgery Physician
  • Palestine, TX
  • NPI 1063644284

  Single Specialty

  NPD
• Texas Specialty Physicians

  • Psychiatry Physician
  • Palestine, TX
  • NPI 1861378168
  NPD
• Starks Medical

  • Primary Care Nurse Practitioner
  • Bullard, TX
  • NPI 1306570593

  Single Specialty

  NPD (past)

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

• Palestine Principal Healthcare Limited Partnership

  • General Acute Care Hospital
  • Palestine, TX
  • NPI 1164510673
  Care Compare affiliation
• Palestine Principal Healthcare Limited Partnership

  • Rehabilitation Hospital
  • Palestine, TX
  • NPI 1326113762
  Care Compare affiliation

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1629200308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 S LOOP 256 STE B",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018405",
            "telephone_number": "903-731-5478",
            "fax_number": "903-731-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 S LOOP 256 STE B",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018405",
            "telephone_number": "903-731-5478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "744 W 9th St # H410",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741279020",
            "country_code": "US",
            "telephone_number": "918-599-5949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "744 W 9th St # H410",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741279020",
            "country_code": "US",
            "telephone_number": "918-599-5949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1123 S Palestine St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757513646",
            "country_code": "US",
            "telephone_number": "190-367-5952",
            "fax_number": "903-675-9526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "MATTHEW",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-14",
        "last_updated": "2026-09-13",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "P8727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Routhouska, D.O.
• Roy Bolton
• Royall Dental Care & Implants
• Jacquelyn Ivette Rubalcava, OD
• Jose Gilberto Rubio Jr., BCBA
• Denice Rutledge, COTA
• Tracie Ann Salas, LVN
• Carolyn F Salter, M.D.
• Stanley Samuel, DMD
• Luke Wayne Satterwhite

• Orthopaedic Surgery Physician in Palestine, TX
• Providers in Palestine, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; 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.