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DR. SANDRA P MATTISON MD
NPI 1174780464
Obstetrics & Gynecology in Trumbull, CT

Active since May 22, 2008PECOS EnrolledAccepts Medicare Assignment
89.86/100
CMS Quality Rating
115 TECHNOLOGY DR UNIT A200, TRUMBULL, CT 06611(203) 268-2239(203) 268-9143 Get Directions Write a Review

NPPES record last updated: January 2, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Sandra P Mattison Md NPPES

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

DR. SANDRA P MATTISON MD (NPI 1174780464) is an individual obstetrics & gynecology provider in Trumbull, Connecticut, licensed in Pennsylvania (MT191489) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1174780464
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. SANDRA P MATTISONCredential: MD
Location Address115 TECHNOLOGY DR UNIT A200Trumbull, CT 06611-6338
Mailing Address115 Technology Dr Unit A200Trumbull, CT 06611-6338 · (203) 268-2239 · Fax (203) 268-9143
Phone(203) 268-2239
Fax(203) 268-9143
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 22, 2008
Last NPPES UpdateJanuary 2, 2019
✔ NPI 1174780464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MT191489
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
115 TECHNOLOGY DR UNIT A200, Trumbull, CT 06611
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sandra P Mattison 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 ID3072782606
PECOS Enrollment IDI20190129002250
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sandra Mattison reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northeast Medical Group, Inc.
8.1 mi
Internal Medicine
226 MILL HILL AVENUE, 3RD FLR
Bridgeport, CT 06610
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,824 clinicians in this Medicare group
NPI 1043278351 (203) 384-3975
Physicians For Women's Health LLC
38 mi
Obstetrics & Gynecology
175 CAPITAL BLVD STE 300
Rocky Hill, CT 06067
  • Reassigned Medicare billing, Connecticut enrollment
  • 371 clinicians in this Medicare group
NPI 1801826680 (860) 678-3400

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06611 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

89.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.17
Promoting Interoperability100
Improvement Activities40
Cost73.04

Reported Quality Measures

Breast Cancer Screening
85%171 patients4/55-star benchmark: 93%
Cervical Cancer Screening
96%1,011 patients4/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
38%881 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
49%1,114 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
56%1,386 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 18% · 976 patients
17%976 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

DR. CLAUDIA P SILVERS M.D.
Obstetrics & Gynecology (Obstetrics)
115 TECHNOLOGY DR UNIT A200
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 268-2239

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 Sandra Mattison's NPI number?

The NPI number for Sandra Mattison is 1174780464. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Sandra Mattison located?

Sandra Mattison practices at 115 Technology Dr Unit A200, Trumbull, CT 06611. The listed phone number is (203) 268-2239.

What is Sandra Mattison's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sandra Mattison enrolled in Medicare?

Yes. Sandra Mattison 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.

Which organizations bill Medicare for Sandra Mattison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Mattison reassigns Medicare benefits to 2 organizations: Northeast Medical Group, Inc. (Bridgeport, CT) and Physicians For Women's Health LLC (Rocky Hill, CT). Each 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 Sandra Mattison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Mattison accept?

Health plans from Anthem Blue Cross and Blue Shield list Sandra Mattison 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 Sandra Mattison was last updated on January 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.