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DR. MICHAEL TRAE MATTISON M.D. NPI 1952411977


NPI Information

NPI: 1952411977
Provider Name: DR. MICHAEL TRAE MATTISON, M.D.
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

Organization: MATTISON PATHOLOGY, LLP

PECOS Registration: Yes

Address:
410 N UTICA AVE
LUBBOCK, TX
ZIP 79416
Phone: (806) 776-1098
Get Directions

DR. Michael Trae Mattison, M.D. is an anatomic pathology and clinical pathology pathology in Lubbock, TX with 28 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. Michael Trae Mattison, M.D. NPI is 1952411977. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:1996

The provider's business location address is:

410 N UTICA AVE
LUBBOCK, TX
ZIP 79416-035
Phone: (806) 776-1098
Fax: (806) 771-2078

The NPI 1952411977 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.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • Special stained specimen slides to examine tissue (HCPCS:88341)

The enumeration date for this NPI number is 8/30/2006 and was last updated on 4/1/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyK4741TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
198574213MEDICAIDNEW MEXICO
28K3321OTHERTEXASBLUE CROSS BLUE SHIELD
3P23712MEDICARE UPINTEXAS
4P00066256MEDICARE PINTEXAS
5113365100OTHERTEXASFIRSTCARE
68B3919MEDICARE PINTEXAS
7165107702MEDICAIDTEXAS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.