LYDIA C. SAMPLES MATTISON M.D.
NPI 1184670325
Family Medicine in Frankfort, KY

Q: What is Lydia Samples Mattison's NPI number?

The NPI number for Lydia Samples Mattison is 1184670325. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is Lydia Samples Mattison's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment

601 VERSAILLES RD, FRANKFORT, KY 40601(502) 695-3946 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lydia C. Samples Mattison M.d. NPPES

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

LYDIA C. SAMPLES MATTISON M.D. (NPI 1184670325) is an individual family medicine provider in Frankfort, Kentucky, licensed in Kentucky (37175) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Frankfort Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184670325

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLYDIA C. SAMPLES MATTISONCredential: M.D.

Location Address601 VERSAILLES RDFrankfort, KY 40601-3857

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168

Phone(502) 695-3946

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1994

Enumeration DateMay 26, 2006

Last NPPES UpdateFebruary 11, 2026

NPPES CertifiedFebruary 11, 2026

✔ NPI 1184670325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in KY · 37175✔ Licensed in OH · 35069396

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

601 VERSAILLES RD, Frankfort, KY 40601

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Secondary Practice Locations 2

Location 15100 Outer LoopLouisville, KY 40219-4056 · Phone (502) 968-6226 · Fax (502) 966-5562

Location 24350 Hamilton Cleves RdCleves, OH 45002 · Phone (513) 215-6400 · Fax (513) 215-6401

Other Identifiers 4

Medicaid64053473KY

Other01079668AIN · State Medical License

Other37175KY · State Medical License

Other35.069396OH · State Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Lydia C. Samples Mattison M.d. 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 ID1052369204

PECOS Enrollment IDI20050105000203, I20180622002570

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.

Hospital Affiliations CMS Care Compare

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

Frankfort Regional Medical Center

Acute Care Hospitals · Frankfort, KY

1/5 CMS rating

OwnershipProprietary

CMS Certification Number180127

Location299 Kings Daughters DriveFrankfort, KY 40601 · Franklin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40601 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 7

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

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

1 supplier25 claims3,900 services$0.37 avg. paid by Medicare

Collagen dressing, sterile, size 16 sq. in. or less, each A6021

DME-Medical/Surgical Supplies · category DA023N

2 suppliers29 claims917 services$20.16 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers43 claims1,861 services$7.06 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

2 suppliers13 claims216 services$9.31 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219

DME-Medical/Surgical Supplies · category DA023N

2 suppliers81 claims3,284 services$0.92 avg. paid by Medicare

Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252

DME-Medical/Surgical Supplies · category DA023N

1 supplier50 claims2,221 services$3.13 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 10

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

MRS. NISHA ASHOK PATEL PRABHU PA-C

Physician Assistant (Medical)