Matthew Zemacke, PA-C
NPI 1366472698 · Medical Physician Assistant · Kalispell, MT
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Zemacke, PA-C is a Medical Physician Assistant provider in Kalispell, MT (NPI 1366472698).
Provider details
- NPI number
- 1366472698
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- MA051912 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,360 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 653 | $14 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 580 | $82 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 127 | $56 |
Typical Medicare-allowed amounts for these services range $14–$82 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 37 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 620 | 84 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 401 | 57 |
| Pregabalin | 388 | 66 |
| Oxycodone Hcl | 381 | 50 |
| Gabapentin | 292 | 41 |
| Morphine Sulfatebrand: Morphine Sulfate Er | 271 | 31 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$85 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 160 Heritage WaySuite 102Kalispell, MT 59901-3161Phone: (406) 755-7785Fax: (406) 755-7857
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2023-11-27
- Certified
- 2020-06-29
Frequently asked questions
- What is Matthew Zemacke's NPI number?
- Matthew Zemacke's National Provider Identifier (NPI) is 1366472698, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Zemacke's specialty?
- Matthew Zemacke is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Matthew Zemacke located?
- Matthew Zemacke's practice location on file with NPPES is 245 Windward Way Ste 101, Kalispell, MT 59901-3385.
- What is Matthew Zemacke's phone number?
- The practice phone number listed in the NPPES registry for Matthew Zemacke is (406) 756-8488.
- Does Matthew Zemacke accept Medicare?
- Matthew Zemacke is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Zemacke's NPI active?
- Yes — Matthew Zemacke's NPI (1366472698) is active in the NPPES registry as of the last update on 2023-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.