DR. GREGG R MATTISON M.D.
NPI 1023062130
Radiology - Diagnostic Radiology in Fort Wayne, IN
NPI Status: Active since May 22, 2006
Contact Information
3707 NEW VISION DRIVE
FORT WAYNE, IN
ZIP 46895
Phone: (260) 471-9466
Fax: (260) 484-5919
- Individual
- Male
- Radiology
- Diagnostic Radiology
- Medicare Quality Reporting
About GREGG MATTISON
This page provides the complete NPI Profile along with additional information for Gregg Mattison, a provider established in Fort Wayne, Indiana with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1023062130 assigned on May 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 35188 (IN). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1023062130
- Provider Name
- DR. GREGG R MATTISON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3707 NEW VISION DRIVE FORT WAYNE, IN 46895
- Location Phone
- (260) 471-9466
- Location Fax
- (260) 484-5919
- Mailing Address
- 2200 RANDALLIA DR FORT WAYNE, IN 46805
- Mailing Phone
- (260) 373-4731
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-22-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35188
- License State
- IN
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 194930I | MEDICARE ID-TYPE UNSPECIFIED (04) | IN | |
| 924750O | MEDICARE ID-TYPE UNSPECIFIED (04) | IN | |
| 000000092615 | OTHER (01) | IN | ANTHEM |
| 191150I | MEDICARE ID-TYPE UNSPECIFIED (04) | IN | |
| 163520K | MEDICARE ID-TYPE UNSPECIFIED (04) | IN | |
| MA4111451 | MEDICARE ID-TYPE UNSPECIFIED (04) | OH | |
| 147380N | MEDICARE ID-TYPE UNSPECIFIED (04) | IN | |
| 055740H | MEDICARE ID-TYPE UNSPECIFIED (04) | IN | |
| 1554 | OTHER (01) | IN | PHP |
| B44955 | MEDICARE UPIN (02) | IN | |
| 190320L | MEDICARE ID-TYPE UNSPECIFIED (04) | IN | |
| 925240H | MEDICARE ID-TYPE UNSPECIFIED (04) | IN | |
| 2100630 | MEDICAID (05) | OH | |
| 4074924100 | MEDICAID (05) | MI |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
| Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1023062130, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023062130, enumerated as an "individual" on May 22, 2006.
The provider is located at 3707 NEW VISION DRIVE FORT WAYNE, IN 46895 and the phone number is (260) 471-9466.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Medicare, Medicaid and Anthem Blue Cross. Please consult your insurance carrier or call the provider to verify.
