DR. DEREK NOEL MATTIMOE MD NPI 1164494613

NPI Details

DR. Derek Noel Mattimoe, MD is a family medicine in Stony Brook, NY with 29 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Derek Noel Mattimoe, MD NPI is 1164494613. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1997

The provider's business location address is:

2500 NESCONSET HWY
BLDG 7D
STONY BROOK, NY
ZIP 11790-555
Phone: (631) 751-3322
Fax: (631) 751-3844

The NPI 1164494613 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)
• Advance care planning, first 30 minutes (HCPCS:99497)
• Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Annual depression screening, 15 minutes (HCPCS:G0444)
• Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes (HCPCS:G0446)
• Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• Face-to-face behavioral counseling for obesity, 15 minutes (HCPCS:G0447)
• Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
• Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
• Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
• Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
• Transitional care management services for problem of high complexity (HCPCS:99496)
• Automated urinalysis test (HCPCS:81003)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
• Transitional care management services for problem of moderate complexity (HCPCS:99495)
• Test to measure expiratory airflow and volume (HCPCS:94010)
• Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
• Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)

The enumeration date for this NPI number is 2/7/2006 and was last updated on 7/9/2007.

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:

Other Identifiers

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