MATTISON PATHOLOGY, L.L.P.
NPI 1093820763
Pathology - Anatomic Pathology & Clinical Pathology in Lubbock, TX

Q: What is Mattison Pathology, L.L.P.'s NPI number?

The NPI number for Mattison Pathology, L.L.P. is 1093820763. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider is doing business as Avero Diagnostics.

Q: What is Mattison Pathology, L.L.P.'s specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since August 20, 2006

4642 N LOOP 289 STE 205, LUBBOCK, TX 79416(360) 543-6836(971) 402-0065 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 15, 2025, Apr 4, 2024, Jul 17, 2023 and 5 more (8 updates tracked since 2022).

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About Mattison Pathology, L.l.p. NPPES

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

MATTISON PATHOLOGY, L.L.P. (NPI 1093820763), doing business as Avero Diagnostics, is a healthcare organization registered as an anatomic pathology & clinical pathology in Lubbock, Texas and active in the NPI registry since August 2006. The organization maintains a secondary practice location in Dallas and lists Gregory M Wolgamot, M.d., as its authorized official.

NPPES Registry Identity

NPI1093820763

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NameMATTISON PATHOLOGY, L.L.P.

Location Address4642 N LOOP 289 STE 205Lubbock, TX 79416-2424

Mailing Address3560 Meridian St Ste 101Bellingham, WA 98225-1731 · (360) 734-2800 · Fax (360) 734-0426

Phone(360) 543-6836

Fax(971) 402-0065

Organization SubpartNo

Authorized OfficialGregory M WolgamotM.d. · (806) 687-7284

Enumeration DateAugust 20, 2006

Last NPPES UpdateDecember 15, 20258 updates tracked since enumeration

NPPES CertifiedDecember 15, 2025

✔ NPI 1093820763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Definition

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.

Also ListedPathology · CytopathologyTaxonomy 207ZC0500X

Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 45D1015603 (TX)

4642 N LOOP 289 STE 205, Lubbock, TX 79416

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Other Names 1

Doing Business AsAvero Diagnostics

Secondary Practice Location 1

Location 14245 N Central Expy Ste 420Dallas, TX 75205-4566 · Phone (205) 356-6790

Other Identifiers 9

Medicaid177874709AR

Other45D1069527TX · Clia

OtherL166TX · Firstcare

Other45D1015603TX · Clia

Medicaid72922010NM

Other7187034TX · College Of American Pathologists

Other7201511TX · College Of American Pathologists

Other0075KPTX · Blue Cross Blue Shield

Medicaid1646044-01TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mattison Pathology, L.l.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Mattison Pathology, L.L.P., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Rodney Stuart, MD

Pathology

NPI 1841346525

6221 RIVERSIDE DR STE 119
Irving, TX 75039

(866) 987-7284

✔ PECOS✔ Accepts Medicare292 mi

Ann Eastman, M.D.

Pathology

NPI 1942383724

1355 RIVER BEND DR
Dallas, TX 75247

(214) 237-1818

✔ PECOS✔ Accepts Medicare298 mi

John Hoyt, M.D.

Pathology

NPI 1285698423

3614 MERIDIAN ST SUITE 100
Bellingham, WA 98225

(360) 734-2800

✔ PECOS✔ Accepts Medicare1,490 mi

Ryan Fortna, M.D., PHD

Pathology

NPI 1811052855

3614 MERIDIAN ST SUITE 100
Bellingham, WA 98225

(360) 734-2800

✔ PECOS✔ Accepts Medicare1,490 mi

Kelly Lloyd, M.D.

Pathology

NPI 1356456347

3614 MERIDIAN ST SUITE 100
Bellingham, WA 98225

(360) 734-2800

✔ PECOS✔ Accepts Medicare1,490 mi

Gregory Wolgamot, M.D., PHD

Pathology

NPI 1801849369

3614 MERIDIAN ST SUITE 100
Bellingham, WA 98225

(360) 734-2800

✔ PECOS✔ Accepts Medicare1,490 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mattison Pathology, L.L.P.'s NPI number?

The NPI number for Mattison Pathology, L.L.P. is 1093820763. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider is doing business as Avero Diagnostics.

Where is Mattison Pathology, L.L.P. located?

Mattison Pathology, L.L.P. is located at 4642 N Loop 289 Ste 205, Lubbock, TX 79416. The listed phone number is (360) 543-6836.

What is Mattison Pathology, L.L.P.'s specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Mattison Pathology, L.L.P. enrolled in Medicare?

Yes. Mattison Pathology, L.L.P. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mattison Pathology, L.L.P.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Pathology, reassign their Medicare billing to Mattison Pathology, L.L.P.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mattison Pathology, L.L.P. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 5 other insurers list Mattison Pathology, L.L.P. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mattison Pathology, L.L.P. was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.