Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael Leroy Matteson, PAC

Individual provider Surgical Physician Assistant · NPI 1033386115

Mr. Michael Leroy Matteson, PAC is a Physician Assistant in Carbondale, Illinois. Graduated from University of Nebraska College of Medicine in 1997, 29 years ago. Practices with Owensboro Health Medical Group Inc, a 456-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Virginia.

Years since qualifying
29
Trained at
University of Nebraska College of Medicine
Licensed in
IL, VA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

305 W Jackson St Ste 105
Carbondale, IL 62901-1474
Phone: (618) 536-2565
Fax: (618) 536-2835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2006 Health Campus Dr Ste 200, Rockingham, VA 22801-8679 — (540) 689-5555

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 385000710 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0110003884 (VA)

Record details

NPI number1033386115
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 8, 2008
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Owensboro Health Medical Group Inc — 456 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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