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Deactivated NPI 1043250699 Deactivated / Inactive NPI Male Practitioner

Dr. Matthew J Phelps , DPM

Podiatrist • Seattle, WA

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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, Dr. Matthew Phelps has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2006
NPI Deactivation Date November 13, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Phelps, DPM was a registered Podiatrist practicing in Seattle, WA. Throughout an active medical career spanning 13 years, Dr. Phelps provided care at the practice location at 904 7TH AVE until profile deactivation on 2019-11-13.

Historical Medicare Part B clinical services included new patient outpatient office visit, removal of fingernails or toenails, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

904 7th Ave

Seattle, WA 981041132

Telephone 2063291760
Associated Practice Facility / Clinic
🏢 Kelley-Ross & Assoc Inc Facility NPI 1669517025

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.6 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
35 Specialists

Practicing in Seattle, WA (199 Statewide)

Telehealth Adoption Rate
5.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.2% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $314.00 $118.72

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License WA PO00000663

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Wei Shawn Ignatius Ang , DO

Psychiatry & Neurology - Forensic Psychiatry

NPI 1013470079

Doctor of Osteopathic Medicine (D.O.)

Mandy Matta , PA-C

Physician Assistant - Surgical

NPI 1013561943

Physician Assistant (Certified)

Dr. Antonius Mulia , MD

Internal Medicine

NPI 1013985977

Doctor of Medicine (M.D.)

NPI 1023085248

Doctor of Medicine (M.D.)

Dr. Xiangping Ren , MD

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1023173846

Doctor of Medicine (M.D.)

NPI 1033112107

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 13, 2019

Record deactivated on November 13, 2019

NPI Profile Active May 10, 2012

NPI status registered as active in NPPES database

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Updated Practice Location May 10, 2012

Registered at 904 7TH AVE, SEATTLE, WA 981041132 (Tel: 2063291760)

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Updated Business Mailing Address May 10, 2012

Registered at 904 7TH AVE, SEATTLE, WA 981041132 (Tel: 2063291760)

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Provider Name / Credentials Updated May 10, 2012

Recorded as MATTHEW PHELPS, DPM

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2012

Podiatrist (License #PO00000663 in WA)

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Initial NPI Registration & Enumeration June 08, 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: 1043250699
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2006
Last Update: May 10, 2012
Deactivation Date: November 13, 2019

Mailing Address

904 7th Ave

Seattle, WA 981041132

Phone: 2063291760

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.