Individual provider Active NPI

Matthew Perdue, PA

  • Physician Assistant
  • Fort Cavazos, TX
National Provider Identifier
1700326493
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1138811 Issued in GA
Practice address
36065 Santa Fe Ave
Fort Cavazos, TX 76544-5060
Phone
(254) 553-0539
NPI assigned
Mar 1, 2017
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MED-PAC-LIC-127922 MT
Physician Assistant 363A00000X PA13022 TX
Physician Assistant 363A00000X 1138811 GA Primary

Addresses

Primary practice location

36065 Santa Fe Ave
Fort Cavazos, TX 76544-5060

Mailing address

36065 Santa Fe Ave
Fort Cavazos, TX 76544-5060
Phone (254) 553-0539

Other practice location 1

1010 W Jasper Dr Ste 8
Killeen, TX 76542-1328
Phone (254) 690-6300

Other practice location 2

226 9th Ave SE
Cut Bank, MT 59427-3332
Phone (406) 873-5507

Other practice location 3

802 2nd St SE
Cut Bank, MT 59427-3329
Phone (406) 873-2251

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Northern Rockies Medical Center, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210706001814 TX Practitioner - Physician Assistant 8729480371 Reassigns benefits to 2 organizations
I20240601000434 MT Practitioner - Physician Assistant 8729480371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.59 of 100Reported as group
Quality
90.83
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1138811GAMDPhysician Assistant
PA13022TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Rockies Medical Center, Inc. CurrentSince Jul 3, 2024 Accepting new patients
Northern Rockies Medical Center, Inc. CurrentSince Jul 3, 2024 Accepting new patients

Locations

226 9th Ave SE
Cut Bank, MT 59427
Phone (406) 873-4941

802 2nd St SE
Cut Bank, MT 59427
Phone (406) 873-2251

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1700326493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVE",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "765445060",
            "telephone_number": "254-553-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVE",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "765445060",
            "telephone_number": "254-553-0539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 W Jasper Dr Ste 8",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765421328",
            "country_code": "US",
            "telephone_number": "254-690-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 9th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Cut Bank",
            "state": "MT",
            "postal_code": "594273332",
            "country_code": "US",
            "telephone_number": "406-873-5507",
            "fax_number": "406-873-3133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 2nd St SE",
            "address_purpose": "LOCATION",
            "city": "Cut Bank",
            "state": "MT",
            "postal_code": "594273329",
            "country_code": "US",
            "telephone_number": "406-873-2251",
            "fax_number": "406-873-3118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "MATTHEW",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-01",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-127922",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13022",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "1138811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Northern Rockies Medical Center, Inc.",
            "address_1": "802 2nd St SE",
            "city": "Cut Bank",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594273329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Cavazos, TX

Sources for this page

Verify at the official NPI Registry.