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Active NPI 1245476597 Individual Practitioner Male Practitioner

Matthew Shane Evans , CPO

Prosthetist • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Matthew Evans, CPO is a registered healthcare professional specializing in Prosthetist in Modesto, CA. Practice services are available at 1705 COFFEE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1705 Coffee Rd
Suite 1

Modesto, CA 953552809

Telephone 2095442273
Fax 2095442274
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Modesto, CA (316 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License CA CPO02042

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

State License CA CPO02042

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Pedorthist

NUCC Taxonomy Code: 224L00000X

State License CA CPO02042

An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

Prosthetic/Orthotic Supplier

NUCC Taxonomy Code: 335E00000X

State License CA CPO02042

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
XC0020420 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Cindy Thomas , CFM

Orthotic Fitter

NPI 1609011196
NPI 1659516961

Certified Prosthetist Orthotist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2014

Registered at 1705 COFFEE RD, SUITE 1, MODESTO, CA 953552809 (Tel: 2095442273)

📍
Updated Business Mailing Address May 22, 2014

Registered at 1705 COFFEE RD, SUITE1, MODESTO, CA 953552809 (Tel: 2095442273)

👤
Provider Name / Credentials Updated May 22, 2014

Recorded as MATTHEW EVANS, CPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2014

Orthotist (License #CPO02042 in CA)

🟢
Initial NPI Registration & Enumeration December 16, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1245476597
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 16, 2008
Last Update: May 22, 2014
Sole Proprietor: Yes

Mailing Address

1705 Coffee Rd, Suite1

Modesto, CA 953552809

Phone: 2095442273

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.