Individual provider Active NPI

Matthew Carl Jepsen, M.D.

  • Otolaryngology Physician
  • Sun City, AZ
National Provider Identifier
1962486027
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
76971 Issued in AZ
Practice address
10503 W Thunderbird Blvd Ste 104
Sun City, AZ 85351-3047
Phone
(623) 975-1660
Fax
(623) 584-4282
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 76971 AZ Primary
Otolaryngology Physician 207Y00000X ME149465 FL
Otolaryngology Physician 207Y00000X 78872-8905 UT
Otolaryngology Physician 207Y00000X 46765 MN

Addresses

Primary practice location

10503 W Thunderbird Blvd Ste 104
Sun City, AZ 85351-3047

Mailing address

14510 W Shumway Dr Ste 101
Sun City West, AZ 85375-5815
Phone (623) 975-1660

Other practice location 1

14510 W Shumway Dr Ste 101
Sun City West, AZ 85375-5815
Phone (623) 975-1660

Other names 1

  • Matthew C Jepsen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210511001640 FL Practitioner - Otolaryngology 8729057104
I20251218002682 AZ Practitioner - Otolaryngology 8729057104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Iowa, RJ & L Carver College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Ear Nose and Throat Physicians PLLCGroup PAC ID 5698758357, 3 clinicians

Practice addresses (Care Compare)

14510 W Shumway Dr
Suite 101
Sun City West, AZ 85375-5815
Phone (623) 975-1660

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
86.06
Promoting interoperability
100
Improvement activities
40
Cost
65.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
76971AZMDOtolaryngology Physician
46765MNMDOtolaryngology Physician
78872-8905UTMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Ear Nose and Throat Physicians PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

10503 W Thunderbird Blvd
Ste 104
Sun City, AZ 85351
Phone (623) 975-1660

14510 W Shumway Dr
Ste 101
Sun City West, AZ 85375
Phone (623) 975-1660

Organizations & group practices 1

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1962486027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14510 W SHUMWAY DR STE 101",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755815",
            "telephone_number": "623-975-1660",
            "fax_number": "623-584-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD STE 104",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513047",
            "telephone_number": "623-975-1660",
            "fax_number": "623-584-4282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14510 W Shumway Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755815",
            "country_code": "US",
            "telephone_number": "623-975-1660",
            "fax_number": "623-584-4282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEPSEN",
        "first_name": "MATTHEW",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "76971",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME149465",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "78872-8905",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "46765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "JEPSEN",
            "middle_name": "C",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.