Active NPI
Douglas Andrew Matey III, D.O.
- Orthopaedic Surgery Physician
- Victoria, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- P1786
- Practice address
- 6404 Nursery Dr Ste 202
Victoria, TX 77904-1688 - Phone
- (361) 576-0633
- Fax
- (361) 576-0639
- NPI assigned
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | P1786 | TX | |
| Orthopaedic Surgery Physician | 207X00000X | P1786 | TX | Primary |
Addresses
Primary practice location
6404 Nursery Dr Ste 202
Victoria, TX 77904-1688
Mailing address
6404 Nursery Dr Ste 202
Victoria, TX 77904-1688
Phone (361) 576-0633
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6404 Nursery Dr
Suite 202
Victoria, TX 77904-1721
Phone 3615760633101
Hospital & facility affiliations
- De Tar Hospital Navarro
- Citizens Medical Center
- Jackson Healthcare Center
- Cuero Regional Hospital
- Lavaca Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.8 of 100
- Quality
- 77.6
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 21 |
| Knee replacement | 59 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 15 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 48 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1786 | TX | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victoria Orthopedic Center PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Victoria Orthopedic Center PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
6404 Nursery Dr
Ste 202
Victoria, TX 77904
Phone (361) 333-5321
605 E San Antonio St
Ste 520E
Victoria, TX 77901
Phone (361) 576-0633
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EDBEBD
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.
-
- Orthopaedic Surgery Physician
- Victoria, TX
- NPI 1598970998
-
- Durable Medical Equipment & Medical Supplies
- Victoria, TX
- NPI 1215112016
Orthopaedic Surgery
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Rural Acute Care Hospital
- Cuero, TX
- NPI 1437148020
-
- Critical Access Hospital
- Edna, TX
- NPI 1124061882
-
- Critical Access Hospital
- Hallettsville, TX
- NPI 1992767511
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1851343909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1801095831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6404 NURSERY DR STE 202",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779041688",
"telephone_number": "361-576-0633",
"fax_number": "361-576-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6404 NURSERY DR STE 202",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779041688",
"telephone_number": "361-576-0633",
"fax_number": "361-576-0639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEY",
"first_name": "DOUGLAS",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-11",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "TX",
"license": "P1786",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "P1786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.