Randall Joseph Matos, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

193 Issued in OK

Practice address

1103 Dewey Ave
Poteau, OK 74953-4411

Phone

(918) 649-3777

Fax

(918) 649-3891

NPI assigned

May 5, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eastern Oklahoma Medical Center Hospital, Poteau, OK, CCN 371337

Merit-based Incentive Payment System (MIPS)

Final score

84.16 of 100Reported as individual

Quality

48.33

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: randall.matos.2@29002.direct.athenahealth.com

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.

• Randall J Matos DPM PC

  • Podiatrist
  • Poteau, OK
  • NPI 1407876246
  Medicare reassignment NPD Authorized official
• Pro-Care Family Health of Oklahoma , LLC

  • Family Medicine Physician
  • Poteau, OK
  • NPI 1396234761
  Medicare reassignment NPD
• Dennis J Carter DO PC

  • Family Medicine Physician
  • Poteau, OK
  • NPI 1063444537
  NPD

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

• Leflore County Hospital Authority

  • Psychiatric Hospital Unit
  • Poteau, OK
  • NPI 1184997447
  Care Compare affiliation
• Leflore County Hospital Authority

  • Critical Access Hospital
  • Poteau, OK
  • NPI 1396767158
  Care Compare affiliation

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1780632273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749530400",
            "telephone_number": "918-649-3777",
            "fax_number": "918-649-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 DEWEY AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534411",
            "telephone_number": "918-649-3777",
            "fax_number": "918-649-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "RANDALL",
        "middle_name": "JOSEPH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100779740A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael L Martin
• Terri J Martin, R.PH.
• Tyna Lyndelle Martin
• Cheri L Mathews, BA/PSRS
• Lindsay Marie Matos
• Matt Grantham, OD, PC
• Matt Grantham, OD, PC
• William Burt-Lewis Matthews, PHARM. D.
• Jeremiah Bilyeu Maxwell
• Kendra Janai Maxwell, MA, LPC CANDIDATE

• Podiatrist in Poteau, OK
• Providers in Poteau, OK by specialty
• Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.