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MR. MICHAEL LEROY MATTESON PA C
NPI 1033386115
Physician Assistant - Surgical in Carbondale, IL

Active since May 08, 2008PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
305 W JACKSON ST, SUITE 105, CARBONDALE, IL 62901(618) 536-2565(618) 536-2835 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Leroy Matteson Pa C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL LEROY MATTESON PA C (NPI 1033386115) is an individual surgical provider in Carbondale, Illinois, licensed in Illinois (385000710) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and maintains a secondary practice location in Rockingham.

NPPES Registry Identity

NPI1033386115
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. MICHAEL LEROY MATTESONCredential: PA C
Location Address305 W JACKSON ST, SUITE 105Carbondale, IL 62901-1474
Mailing AddressPo Box 1105Indianapolis, IN 46206-1105 · (618) 457-5200 · Fax (618) 351-4821
Phone(618) 536-2565
Fax(618) 536-2835
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1997
Enumeration DateMay 8, 2008
Last NPPES UpdateDecember 8, 2025
NPPES CertifiedDecember 8, 2025
✔ NPI 1033386115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in IL · 385000710✔ Licensed in VA · 0110003884
305 W JACKSON ST, Carbondale, IL 62901
Open in Google Maps ↗

Secondary Practice Location 1

Location 12006 Health Campus Dr Ste 200Rockingham, VA 22801-8679 · Phone (540) 689-5555 · Fax (757) 579-8607

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael Leroy Matteson Pa C is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840470266
PECOS Enrollment IDI20140414001220, I20250117002873
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
30 services30 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
27 services27 patients
Removal of lobe of lung 32480
Lung lobectomy is a surgery where a portion (lobe) of the lung is removed due to conditions like cancer or infection. It helps improve breathing and overall health. Post-surgery, you may need rehabilitation to regain lung function.
13 services13 patients
Replacement of aortic valve on heart-lung machine 33405
The aortic valve replacement on a heart-lung machine is a procedure where your faulty aortic valve is replaced with a new one. During this operation, a machine takes over the job of your heart and lungs, ensuring the blood supply to your body is maintained.
12 services12 patients
Removal of lymph nodes of chest cavity and breast bone 38746
This procedure involves removing lymph nodes in the chest and breast bone area. It's typically performed to treat or prevent disease spread. The surgeon makes an incision, locates and removes the affected nodes. The area is then closed up. This can help improve health outcomes.
12 services12 patients
Coronary artery bypass using vein or artery graft, 2 grafts 33518
A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.44
Promoting Interoperability94
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRADLEY C. BRUSH A.T.C., C.S.C.S.
Specialist/Technologist (Athletic Trainer)
305 W JACKSON ST, SUITE LL02
CARBONDALE, IL 62901
Jackson County (618) 549-0721
STOKES INSTITUTE OF UROLOGY, LLC
Specialist
305 W JACKSON ST, SUITE 400
CARBONDALE, IL 62901
Jackson County (618) 351-9300
L. NEAL MCCAIN, M.D, LTD.
Surgery
305 W JACKSON ST, SUITE 302
CARBONDALE, IL 62901
Jackson County (618) 529-1770
SCOTT K SCHONEWOLF M.D.
Family Medicine
305 W JACKSON ST, SUITE 200
CARBONDALE, IL 62901
Jackson County (618) 453-3777
LAURA E CHANDLER MS/CCC-SLP
Speech-Language Pathologist
305 W JACKSON ST, SUITE LL02
CARBONDALE, IL 62901
Jackson County (618) 529-0516
KUSHAN D. MOONESINGHE M.D.
Family Medicine
305 W JACKSON ST, STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621
KYAW T NAING M.D., PH.D.
Family Medicine
305 W JACKSON ST, STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621
FARIHA RUB MD
Family Medicine
305 W JACKSON ST, SUITE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Matteson's NPI number?

The NPI number for Michael Matteson is 1033386115. It was assigned to this individual provider in the NPPES registry on May 8, 2008.

Where is Michael Matteson located?

Michael Matteson practices at 305 W Jackson St Suite 105, Carbondale, IL 62901. The listed phone number is (618) 536-2565.

What is Michael Matteson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Michael Matteson enrolled in Medicare?

Yes. Michael Matteson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Michael Matteson affiliated with any hospitals?

According to CMS data, Michael Matteson is affiliated with Owensboro Health Regional Hospital, Centra Health - Lynchburg Gen Hospital and Lewisgale Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Matteson was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.