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Active NPI 1952343543 Individual Practitioner Male Practitioner

Dr. Gordon A Matlock , MD

Specialist • Longview, WA

Professional Overview & Biography Verified Profile Summary

Dr. Gordon Matlock, MD is a registered healthcare professional specializing in Specialist in Longview, WA. Practice services are available at 1615 DELAWARE ST under active NPI credentials.

Frequently performed procedures and clinical services include removal of polyps or growths of large bowel using an endoscope with mechanical snare, diagnostic exam of large bowel using a flexible endoscope, diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1615 Delaware St
Suite 100

Longview, WA 986322310

Telephone 3605776628
Associated Practice Facility / Clinic
🏢 Peacehealth Facility NPI 1073510277

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
27 Specialists

Practicing in Longview, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
7.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
154 153 $242.48 $230.84
45378 Diagnostic exam of large bowel using a flexible endoscope
136 135 $185.93 $172.03
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
134 127 $103.08 $97.49
43453 Dilation of esophagus
29 26 $39.03 $38.01
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
26 26 $126.23 $115.28
45380 Biopsy of large bowel using an endoscope
12 12 $211.67 $188.14
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
11 11 $183.64 $172.29

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MD00017271

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1540608 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Choong Kim , MD

Radiology - Radiation Oncology

NPI 1023292950

Doctor of Medicine (M.D.)

Dr. Steven Spence , DNP, ARNP, FNP-BC

Nurse Practitioner - Family

NPI 1023685492

Doctor of Nursing Practice, Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Board Certified)

Dr. Alexander Shar , MD

Internal Medicine - Hematology

NPI 1033280920

Doctor of Medicine (M.D.)

Peter Leyzac , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033451968

Certified Registered Nurse Anesthetist

NPI 1033468376

Doctor of Pharmacy (Pharm.D.)

Holly Wells , FNP-BC

Nurse Practitioner - Family

NPI 1033712526

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 03, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2012

Registered at 1615 DELAWARE ST, SUITE 100, LONGVIEW, WA 986322310 (Tel: 3605776628)

📍
Updated Business Mailing Address May 03, 2012

Registered at PO BOX 2400, LONGVIEW, WA 986328461 (Tel: 3605776628)

👤
Provider Name / Credentials Updated May 03, 2012

Recorded as GORDON MATLOCK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2012

Specialist (License #MD00017271 in WA)

🟢
Initial NPI Registration & Enumeration June 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952343543
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2006
Last Update: May 03, 2012
Sole Proprietor: Yes

Mailing Address

Po Box 2400

Longview, WA 986328461

Phone: 3605776628

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.