HECTOR E MATEO MD
NPI 1104816552
Internal Medicine - Pulmonary Disease in Fall River, MA

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
1030 PRESIDENT AVE, SUITE 210, FALL RIVER, MA 02720(508) 973-1780(508) 973-0359 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2020, Feb 12, 2016 (2 updates tracked since 2016).

About Hector E Mateo Md NPPES

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

HECTOR E MATEO MD (NPI 1104816552) is an individual pulmonary disease provider in Fall River, Massachusetts, licensed in Massachusetts (227160) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1104816552
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameHECTOR E MATEOCredential: MD
Location Address1030 PRESIDENT AVE, SUITE 210Fall River, MA 02720-5923
Mailing Address200 Mill Rd, Suite 180Fairhaven, MA 02719-5252 · (508) 973-2000 · Fax (508) 973-2001
Fax(508) 973-0359
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateOctober 26, 2005
Last NPPES UpdateJanuary 22, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
NPI 1104816552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MA · 227160
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1030 PRESIDENT AVE, Fall River, MA 02720

Other Identifiers 2

Medicaid9021468RI
Medicaid110075237AMA

Accepted Insurance

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

Hector E Mateo Md 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 ID8426035783
PECOS Enrollment IDI20040706000003, I20061018000503
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 16

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
512 services324 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
86 services82 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
81 services66 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
76 services76 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
76 services76 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
75 services34 patients

Hospital Affiliations CMS Care Compare

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 32

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers204 claims204 services$35.60 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
6 suppliers22 claims41 services$1.19 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
4 suppliers14 claims14 services$10.40 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers126 claims126 services$75.88 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers137 claims326 services$28.84 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers67 claims362 services$16.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Neurological Surgery
1030 PRESIDENT AVE, SUITE 306
FALL RIVER, MA 02720
Pediatrics
1030 PRESIDENT AVE
FALL RIVER, MA 02720
Internal Medicine (Critical Care Medicine)
1030 PRESIDENT AVE, SUITE 210
FALL RIVER, MA 02720
Nurse Practitioner (Adult Health)
1030 PRESIDENT AVE, SUITE 304
FALL RIVER, MA 02720
Obstetrics & Gynecology
1030 PRESIDENT AVE
FALL RIVER, MA 02720
Physician Assistant
1030 PRESIDENT AVE, SUITE 3001
FALL RIVER, MA 02720
Internal Medicine (Pulmonary Disease)
1030 PRESIDENT AVE, SUITE 210
FALL RIVER, MA 02720
Family Medicine
1030 PRESIDENT AVE, SUITE 104 SOUTHCOAST PHYSICIAN SERVICES INC
FALL RIVER, MA 02720

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 Hector Mateo's NPI number?

The NPI number for Hector Mateo is 1104816552. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Hector Mateo located?

Hector Mateo practices at 1030 President Ave Suite 210, Fall River, MA 02720. The listed phone number is (508) 973-1780.

What is Hector Mateo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Hector Mateo enrolled in Medicare?

Yes. Hector Mateo 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.

What insurance does Hector Mateo accept?

Health plans from Anthem Blue Cross and Blue Shield list Hector Mateo 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.

Is Hector Mateo affiliated with any hospitals?

According to CMS data, Hector Mateo is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Hector Mateo was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.