Active NPI 1154500536 Individual Practitioner Female Practitioner

Lisa Michelle Matiaco , PA-C

Physician Assistant • Republic, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lisa Matiaco, PA-C is a certified Physician Assistant practicing in Republic, WA. With approximately 19 years of clinical experience since completing medical education in 2007, Lisa Matiaco delivers high-quality medical care to the local community at 10 ROS CIR.

Lisa Matiaco is affiliated with Optimal Health Of Southern Oregon, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual depression screening, 5 to, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10 Ros Cir

Republic, WA 991665002

Telephone 5097753153

Fax 5097758929

Associated Practice Facility / Clinic

🏢 Ferry County Public Hospital District No 1 Facility NPI 1184776916

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Republic, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs Matches City Avg

City Avg: 19.0 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

1 Specialists

Practicing in Republic, WA (3774 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Matiaco (19 Years) 19 Yrs

Republic Specialty Average (19.0 Years) 19.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	224	74	$375.00	$102.87
99213 Established patient office or other outpatient visit, typically 15 minutes	104	57	$262.00	$73.88
G0444 Annual depression screening, 5 to 15 minutes	31	31	$38.87	$13.54
99497 Advance care planning, first 30 minutes	21	21	$228.00	$66.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$229.04	$106.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$480.00	$129.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	201	83	$304.85	$97.55
99213 Established patient office or other outpatient visit, typically 15 minutes	119	69	$201.43	$67.27
G0444 Annual depression screening, 5 to 15 minutes	59	59	$45.00	$13.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$427.43	$127.21
99497 Advance care planning, first 30 minutes	12	12	$228.00	$61.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	61	$300.00	$103.63
99213 Established patient office or other outpatient visit, typically 15 minutes	58	45	$194.00	$71.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$411.00	$136.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	250	127	$170.00	$75.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	53	$245.00	$106.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$260.00	$109.00
81002 Urinalysis, manual test	41	30	$10.00	$3.48
99497 Advance care planning, first 30 minutes	12	11	$150.00	$70.23
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	12	11	$28.33	$27.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	275	134	$170.00	$62.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	85	$245.00	$90.61
81002 Urinalysis, manual test	59	43	$10.00	$3.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$260.00	$96.03
99495 Transitional care management services for problem of at least moderate complexity	14	12	$221.43	$154.35
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	11	$50.00	$19.11
99497 Advance care planning, first 30 minutes	11	11	$127.27	$71.91
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$60.00	$14.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$250.00	$89.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	216	132	$170.00	$61.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	195	101	$245.00	$88.62
81002 Urinalysis, manual test	51	44	$10.00	$3.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$260.00	$96.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	12	$50.00	$18.85
17000 Destruction of skin growth	20	14	$190.00	$54.26
81000 Manual urinalysis test with examination using microscope, non-automated	17	13	$15.00	$3.94
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	14	14	$50.00	$27.57
G0008 Administration of influenza virus vaccine	14	14	$50.00	$16.19
69210 Removal of impacted ear wax	13	11	$125.00	$37.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	289	157	$170.00	$58.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	103	$245.00	$86.84
81002 Urinalysis, manual test	56	37	$10.34	$3.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$260.00	$91.42
99497 Advance care planning, first 30 minutes	16	15	$100.00	$68.28
69210 Removal of impacted ear wax	14	12	$125.00	$39.38
G0008 Administration of influenza virus vaccine	12	12	$50.00	$19.92
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$60.00	$13.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	251	136	$170.00	$59.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	244	121	$245.00	$86.06
81002 Urinalysis, manual test	56	46	$10.38	$3.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$260.29	$93.73
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$60.00	$13.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$250.00	$87.77
G0008 Administration of influenza virus vaccine	13	13	$50.00	$24.61
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	13	13	$50.00	$17.34

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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

Optimal Health Of Southern Oregon, Llc

1600 Nw 6th St, Grants Pass, OR 975261094

Phone: 5415071948

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Matthew Short , MD

Family Medicine

NPI 1083877005

Doctor of Medicine (M.D.)

Mari Hunter , APN-C

Nurse Practitioner

NPI 1255343141

APNC

Dr. Patricia Short , MD

Internal Medicine

NPI 1285605758

Doctor of Medicine (M.D.)

Annette Byrd , FNP-PP

Nurse Practitioner - Family

NPI 1316275340

FNPPP

Sarah Walden , ARNP

Nurse Practitioner

NPI 1427022730

Advanced Registered Nurse Practitioner

Dr. Melissa Mitchell , DNP, AGPCNP-BC

Nurse Practitioner

NPI 1447883483

Doctor of Nursing Practice, AGPCNPBC

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2013

Registered at 10 ROS CIR, REPUBLIC, WA 991665002 (Tel: 5097753153)

📍

Updated Business Mailing Address March 21, 2013

Registered at 10 ROS CIR, REPUBLIC, WA 991665002 (Tel: 5097753153)

👤

Provider Name / Credentials Updated March 21, 2013

Recorded as LISA MATIACO, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2013

Physician Assistant

🟢

Initial NPI Registration & Enumeration November 01, 2007

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: 1154500536

Entity Type:

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

Enumeration Date: November 01, 2007

Last Update: March 21, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10 Ros Cir

Republic, WA 991665002

Phone: 5097753153

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.