MATTHEW SCOTT POOLE PA-C NPI 1417525072

NPI Information

  • NPI: 1417525072
  • Provider Name: MATTHEW SCOTT POOLE, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1502 BLUE RIDGE DR STE 201
    GEORGETOWN, TX
    ZIP 78626
  • Phone: (512) 478-2273

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NPI Details

Matthew Scott Poole, PA-C is a medical physician assistant in Georgetown, TX with 5 years of experience. Matthew Scott Poole, PA-C NPI is 1417525072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2021

The provider's business location address is:

1502 BLUE RIDGE DR STE 201
GEORGETOWN, TX
ZIP 78626-002
Phone: (512) 478-2273
Fax: (512) 472-0921

The NPI 1417525072 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Exam of ear using a microscope (HCPCS:92504)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of impacted ear wax (HCPCS:69210)

The enumeration date for this NPI number is 6/10/2021 and was last updated on 10/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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