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JOHN A MATTINGLY MD NPI 1952355786


NPI Information

NPI: 1952355786
Provider Name: JOHN A MATTINGLY, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
12 WOLF CREEK DR
SWANSEA, IL
ZIP 62226
Phone: (618) 277-7912
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John A Mattingly, MD is a diagnostic radiology radiology in Swansea, IL with 31 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. John A Mattingly, MD NPI is 1952355786. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

12 WOLF CREEK DR
SWANSEA, IL
ZIP 62226-314
Phone: (618) 277-7912
Fax: (618) 277-7915

The NPI 1952355786 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • Ct scan chest (HCPCS:71250)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of face (HCPCS:70486)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Ultrasound of head and neck (HCPCS:76536)
  • X-ray of knee, 3 views (HCPCS:73562)

The enumeration date for this NPI number is 5/19/2006 and was last updated on 1/11/2013.


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
12085N0700XRadiologyNeuroradiology036096843ILLINOISNo
22085R0202XRadiologyDiagnostic Radiology42628KENTUCKYNo
32085R0202XRadiologyDiagnostic Radiology01066438AINDIANANo
42085R0202XRadiologyDiagnostic RadiologyD0068341MARYLANDNo
52085N0700XRadiologyNeuroradiology103379MISSOURINo
62085N0700XRadiologyNeuroradiology42628KENTUCKYNo
72085N0700XRadiologyNeuroradiology01066438AINDIANANo
82085N0700XRadiologyNeuroradiologyD0068341MARYLANDNo
92085R0202XRadiologyDiagnostic Radiology103379MISSOURINo
102085R0202XRadiologyDiagnostic Radiology0036096843ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G59337MEDICARE UPIN
2P01026934OTHERRR MEDICARE
30360916843MEDICAIDILLINOIS
4L61950MEDICARE PIN
5376069OTHERHEALTHLINK
6366096843MEDICAIDILLINOIS
7IL5602006MEDICARE PINILLINOIS
8L95006MEDICARE PIN

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: 5/5/2024

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