Individual provider Active NPI

Matthew C. Walk, PA-C

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1831179274
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103571 Issued in FL
Practice address
8350 Riverwalk Park Blvd
Suite 1
Fort Myers, FL 33919-8759
Phone
(239) 482-5399
Fax
(239) 482-4353
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9103571 FL Primary

Addresses

Primary practice location

8350 Riverwalk Park Blvd
Suite 1
Fort Myers, FL 33919-8759

Mailing address

12670 Creekside LN Ste 202
Fort Myers, FL 33919-3370
Phone (239) 482-2663

Other practice location 1

12670 Creekside Ln
Fort Myers, FL 33919-3370
Phone (239) 482-2663

Other practice location 2

10201 Arcos Ave Ste 206
Estero, FL 33928-9461
Phone (239) 482-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051221000275 FL Practitioner - Physician Assistant 1850313644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Center of Florida, IncGroup PAC ID 9931183639, 48 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

10201 Arcos Ave
Suite 206
Estero, FL 33928-9461
Phone (239) 946-4880

12670 Creekside LN
Fort Myers, FL 33919-3370
Phone (239) 482-2663

20009 Verdana Village Blvd
Unit 103
Estero, FL 33928-9826
Phone (419) 221-6717

8350 Riverwalk Park Blvd
Suite 1
Fort Myers, FL 33919-8759
Phone (239) 482-2663

Hospital & facility affiliations

  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Merit-based Incentive Payment System (MIPS)

Final score
78.92 of 100Reported as group
Quality
65.67
Improvement activities
40
Cost
75.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Center of Florida, Inc CurrentSince Feb 1, 2024 Accepting new patients
Florida Radiology Consultants P a Past Accepting new patients

Locations

10201 Arcos Ave
Ste 206
Estero, FL 33928
Phone (239) 482-2663

8350 Riverwalk Park Blvd
Ste 1
Fort Myers, FL 33919
Phone (239) 482-2663

12670 Creekside Ln
Ste 202
Fort Myers, FL 33919
Phone (239) 267-2263

Interoperability endpoints

  • Direct secure messaging: matthewwalk@fhmdpa.allscriptsdirect.net
  • Direct secure messaging: matthew.walk.1@22724.direct.athenahealth.com

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 2

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1831179274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12670 CREEKSIDE LN STE 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193370",
            "telephone_number": "239-482-2663",
            "fax_number": "239-482-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 RIVERWALK PARK BLVD",
            "address_2": "SUITE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198759",
            "telephone_number": "239-482-5399",
            "fax_number": "239-482-4353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12670 Creekside Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339193370",
            "country_code": "US",
            "telephone_number": "239-482-2663",
            "fax_number": "239-482-7585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10201 Arcos Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339289461",
            "country_code": "US",
            "telephone_number": "239-482-2663",
            "fax_number": "239-482-7585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALK",
        "first_name": "MATTHEW",
        "middle_name": "C.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.