NPIMap

Individual provider Active NPI

Matthew Rease Moog, M.D.

  • Anesthesiology Physician
  • Sheridan, WY
National Provider Identifier
1992794945
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
9615 Issued in MT
Practice address
1401 W 5TH St
Sheridan, WY 82801-2705
Phone
(307) 672-1000
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD219202 OR
Anesthesiology Physician 207L00000X 9615 MT Primary

Addresses

Primary practice location

1401 W 5TH St
Sheridan, WY 82801-2705

Mailing address

PO Box 514
Big Horn, WY 82833-0514
Phone (406) 599-9561

Other practice location 1

3600 NW Samaritan Dr
Corvallis, OR 97330-5472
Phone (541) 768-5111

Other identifiers 2

IdentifierTypeStateIssuer
0027506MedicaidMT
805495000MedicaidID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmoog328103@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WY, WA, HI, OR5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20050519000344 MT Practitioner - Anesthesiology 4587605506 Reassigns benefits to 1 organization
I20170926003415 WY Practitioner - AnesthesiologyPractitioner - Otolaryngology 4587605506 Reassigns benefits to 1 organization
I20230505000471 WA Practitioner - Anesthesiology 4587605506 Reassigns benefits to 2 organizations
I20230628002470 HI Practitioner - Anesthesiology 4587605506 Reassigns benefits to 1 organization
I20250912003909 OR Practitioner - Anesthesiology 4587605506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Anesthesiology Group PCGroup PAC ID 3476451659, 239 clinicians
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians

Practice addresses (Care Compare)

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone (360) 487-1000

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

Hospital & facility affiliations

  • Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014
  • Legacy Salmon Creek Medical Center Hospital, Vancouver, WA, CCN 500150
  • Samaritan Pacific Community Hospital Hospital, Newport, OR, CCN 381314

Merit-based Incentive Payment System (MIPS)

Final score
73.51 of 100Reported as group
Quality
68.84
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9615MTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Anesthesia Group P S Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Sep 8, 2025 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Oregon Anesthesiology Group PC Anesthesiology CurrentSince Dec 5, 2023 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Sep 8, 2025 Accepting new patients
The Anesthesia Medical Group Inc Anesthesiology CurrentSince Jun 1, 2023 Accepting new patients
Gallatin Valley Anesthesia Associates PC Anesthesiology CurrentSince Mar 1, 2007 Accepting new patients
Big Horn Anesthesia Associates LLC Anesthesiology CurrentSince Oct 1, 2017 Accepting new patients
Ma Critical Care Services, PC Past Accepting new patients
Missoula Anesthesiology, P.C. Anesthesiology PastSince Jan 29, 2023 Accepting new patients
Intercity Radiology, PC PastSince Mar 1, 2007 Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

925 Highland Blvd
Ste 1180
Bozeman, MT 59715
Phone (406) 582-4963

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

505 NE 87th Ave
Ste 210
Vancouver, WA 98664
Phone (360) 828-5396

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

1401 W 5th St
Sheridan, WY 82801
Phone (307) 672-1000

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1992794945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 514",
            "city": "BIG HORN",
            "state": "WY",
            "postal_code": "828330514",
            "telephone_number": "406-599-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012705",
            "telephone_number": "307-672-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 NW Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973305472",
            "country_code": "US",
            "telephone_number": "541-768-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOG",
        "first_name": "MATTHEW",
        "middle_name": "REASE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD219202",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MT",
            "license": "9615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0027506",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805495000",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmoog328103@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3600 NW Samaritan Dr",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973305472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.