Kelly Dawn Mattix, MD
NPI 1063685956ActiveIndividual· Surgery, Pediatric Surgery· Springdale, AR
Surgery, Pediatric Surgery (MD) in Springdale, Arkansas, licensed in AR and TX, with an NPI issued in April 2008. Enrolled in Medicare as practitioner - general surgery and practitioner - general surgery. Spacelabs Healthcare Inc reported $153.43 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1063685956 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 11, 2008 |
| Last updated in NPPES | Oct 2, 2026 |
| Certified by provider | Oct 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Pediatric Surgery Primary | 2086S0120X | E-17038 | AR |
| Surgery | 208600000X | E-17038 | AR |
| Surgery, Pediatric Surgery | 2086S0120X | N7560 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (AR); Practitioner - General Surgery (TX) |
|---|
Industry payments (Open Payments)
- 2024$153.43 · 4 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Spacelabs Healthcare Inc | $153.43 | 4 |
What the 2024 payments were for
- Food and Beverage$153.43 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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