Deactivated NPI 1972073260 Deactivated / Inactive NPI Male Practitioner

Matthew Joseph Trautman , PA-C

Physician Assistant • Bend, OR

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Matthew Trautman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 29, 2018

NPI Deactivation Date September 21, 2019

Total Practice Duration ~1 Years of Practice (2019 – 2019)

Professional Overview & Biography Verified Profile Summary

Matthew Trautman, PA-C was a registered Physician Assistant practicing in Bend, OR. Throughout an active medical career spanning 1 years, Matthew Trautman provided care at the practice location at 2747 NE CONNERS AVE until profile deactivation on 2019-09-21.

Matthew Trautman was affiliated with Mountain West Derm - Blackhart Pllc and accepted Medicare assignment.

Historical Medicare Part B clinical services included destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2747 Ne Conners Ave

Bend, OR 977018738

Telephone 5413825712

Fax 5413822605

Associated Practice Facility / Clinic

🏢 Bend Dermatology Clinic Llc Facility NPI 1649244393

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bend, OR

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -5.5 yrs vs City Avg

City Avg: 12.5 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

186 Specialists

Practicing in Bend, OR (2106 Statewide)

Telehealth Adoption Rate

29.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Trautman (7 Years) 7 Yrs

Bend Specialty Average (12.5 Years) 12.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,246	510	$19.00	$5.49
99213 Established patient office or other outpatient visit, typically 15 minutes	1,108	834	$197.53	$74.31
17000 Destruction of skin growth	816	656	$169.32	$42.21
17110 Destruction of up to 14 skin growths	435	370	$278.76	$92.81
11102 Tangential biopsy of single skin lesion	274	259	$202.58	$71.21
17004 Destruction of precancer skin growth, 15 or more growths	173	150	$381.48	$137.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	124	111	$120.76	$46.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$272.98	$91.31
11103 Biopsy of related skin growth, each additional growth	47	41	$125.00	$40.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	41	$293.08	$105.27
11104 Punch biopsy, first skin growth	19	19	$300.00	$102.40
69100 Biopsy of ear	15	15	$231.54	$52.16
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	14	14	$306.00	$122.41
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	13	13	$381.48	$147.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,204	533	$19.00	$5.54
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	2,600	12	$3.06	$1.63
99213 Established patient office or other outpatient visit, typically 15 minutes	969	805	$187.49	$74.01
17000 Destruction of skin growth	809	680	$169.32	$41.85
17110 Destruction of up to 14 skin growths	416	370	$278.76	$93.54
11102 Tangential biopsy of single skin lesion	362	343	$202.57	$74.94
17004 Destruction of precancer skin growth, 15 or more growths	205	185	$381.48	$139.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	192	168	$113.64	$46.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	167	167	$272.98	$91.37
96900 Application of ultraviolet light to skin	104	27	$54.04	$20.03
11103 Biopsy of related skin growth, each additional growth	78	59	$125.00	$41.64
11104 Punch biopsy, first skin growth	26	24	$300.00	$104.16
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	25	23	$306.00	$103.71
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$192.54	$59.47
69100 Biopsy of ear	20	20	$231.54	$61.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	20	13	$15.30	$1.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	13	$45.49	$11.67
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	13	12	$263.16	$116.12
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	11	$350.88	$126.25
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	12	12	$381.48	$135.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$274.79	$104.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	6,400	29	$3.06	$1.58
17003 Destruction of precancer skin growth, 2-14 growths	2,046	384	$19.00	$5.60
99213 Established patient office or other outpatient visit, typically 15 minutes	643	580	$187.43	$74.29
17000 Destruction of skin growth	547	491	$169.32	$40.95
11102 Tangential biopsy of single skin lesion	350	333	$202.52	$76.15
17110 Destruction of up to 14 skin growths	307	283	$278.67	$91.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	237	216	$113.64	$46.14
17004 Destruction of precancer skin growth, 15 or more growths	176	165	$381.48	$138.63
96900 Application of ultraviolet light to skin	152	24	$54.04	$19.47
11103 Biopsy of related skin growth, each additional growth	101	77	$125.00	$42.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$272.98	$90.55
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	30	28	$263.16	$119.32
69100 Biopsy of ear	27	25	$231.54	$59.38
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	25	22	$306.00	$112.38
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	24	13	$15.30	$1.12
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$192.54	$59.81
11104 Punch biopsy, first skin growth	22	22	$300.00	$105.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	13	$42.29	$11.82
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	14	$373.32	$142.79
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	14	14	$350.88	$122.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	11	$274.79	$105.61
10060 Simple or single drainage of skin abscess	11	11	$240.43	$102.91
Q0112 All potassium hydroxide (koh) preparations	11	11	$15.00	$5.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	804	152	$18.42	$5.40
17000 Destruction of skin growth	228	207	$169.32	$42.47
99213 Established patient office or other outpatient visit, typically 15 minutes	218	201	$187.49	$75.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	165	140	$113.64	$45.89
11102 Tangential biopsy of single skin lesion	153	144	$202.54	$80.69
17110 Destruction of up to 14 skin growths	83	76	$278.76	$92.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$272.98	$92.25
96900 Application of ultraviolet light to skin	52	14	$54.04	$18.98
17004 Destruction of precancer skin growth, 15 or more growths	50	48	$381.48	$135.19
11103 Biopsy of related skin growth, each additional growth	45	31	$107.99	$43.65
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$192.54	$59.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	16	13	$15.30	$1.18
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	15	13	$306.00	$110.26
11104 Punch biopsy, first skin growth	15	13	$259.21	$107.50
11900 Injection into skin growth, 1-7 growths	13	13	$122.40	$29.67

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA195977

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Mountain West Derm - Blackhart Pllc

2747 Ne Conners Ave, Bend, OR 977018738

Phone: 5413825712

Mountain West Derm - Blackhart Pllc

1900 Main St, Klamath Falls, OR 976012629

Phone: 5413825712

Practice Associates & Co-Workers

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

9 Associated Practitioners

Alexandria Staub , PA-C

Physician Assistant

NPI 1114408945

Physician Assistant (Certified)

Bailey Brandt , PA-C

Physician Assistant

NPI 1215278361

Physician Assistant (Certified)

Dr. Stephanie Trautman , MD

Dermatology

NPI 1275744971

Doctor of Medicine (M.D.)

Dr. Fridolin Hoesly , MD

Dermatology

NPI 1285860288

Doctor of Medicine (M.D.)

Dr. Kristin Neuhaus , MD

Dermatology

NPI 1427282383

Doctor of Medicine (M.D.)

Dr. Joshua May , MD

Dermatology

NPI 1538366240

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Business Mailing Address November 06, 2019

Registered at 2747 NE CONNERS AVE, BEND, OR 977018738 (Tel: 5413825712)

🔄

NPI Profile Reactivated October 09, 2019

Record officially reactivated for active practice on October 09, 2019

📍

Updated Practice Location October 09, 2019

Registered at 2747 NE CONNERS AVE, BEND, OR 977018738 (Tel: 5413825712)

📍

Updated Business Mailing Address October 09, 2019

Registered at 20675 COUPLES LN, BEND, OR 977022983 (Tel: 3602613906)

👤

Provider Name / Credentials Updated October 09, 2019

Recorded as MATTHEW TRAUTMAN, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2019

Physician Assistant (License #PA195977 in OR)

⚠️

NPI Profile Deactivated September 21, 2019

Record deactivated on September 21, 2019

✅

NPI Profile Active November 29, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location November 29, 2018

Registered at 7101 NE 137TH AVE, VANCOUVER, WA 986824933 (Tel: 3609444804)

📍

Updated Business Mailing Address November 29, 2018

Registered at 1700 MAIN ST UNIT 607, VANCOUVER, WA 986602777 (Tel: 3602613906)

👤

Provider Name / Credentials Updated November 29, 2018

Recorded as MATTHEW TRAUTMAN, PA-S

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2018

Family Medicine (License #$$$$$$$$$ in WA)

🟢

Initial NPI Registration & Enumeration November 29, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Matthew Trautman. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1972073260

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 29, 2018

Last Update: November 06, 2019

Deactivation Date: September 21, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2747 Ne Conners Ave

Bend, OR 977018738

Phone: 5413825712

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.