DR. MICHAEL TRAE MATTISON M.D. NPI 1952411977

NPI Information

  • NPI: 1952411977
  • Provider Name: DR. MICHAEL TRAE MATTISON, M.D.
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 410 N UTICA AVE
    LUBBOCK, TX
    ZIP 79416
  • Phone: (806) 776-1098

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NPI Details

DR. Michael Trae Mattison, M.D. is an anatomic pathology and clinical pathology pathology in Lubbock, TX. 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.

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)
  • Cell examination of urine, manual (HCPCS:88120)
  • Pap test (HCPCS:88141)
  • Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method (HCPCS:G0416)
  • Pap test, automated thin layer preparation; automated system and manual rescreening (HCPCS:88175)
  • Special stained specimen slides to examine tissue, each multiplex procedure (HCPCS:88344)
  • Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician (HCPCS:G0124)
  • Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision (HCPCS:G0145)

The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/16/2022.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
198574213MEDICAIDNEW MEXICO
2165107702MEDICAIDTEXAS
38K3321OTHERTEXASBLUE CROSS BLUE SHIELD
4113365100OTHERTEXASFIRSTCARE

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: 11/21/2025

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