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KERRY LEE MATTINGLY MD
NPI 1184740284
Obstetrics & Gynecology in Menomonee Falls, WI

Active since March 21, 2007PECOS Enrolled
W180N7950 TOWN HALL RD, MENOMONEE FALLS, WI 53051(262) 250-5158(262) 532-9505 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kerry Lee Mattingly Md NPPES

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

KERRY LEE MATTINGLY MD (NPI 1184740284) is an individual obstetrics & gynecology provider in Menomonee Falls, Wisconsin, licensed in Wisconsin (52512-20) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (1992).

NPPES Registry Identity

NPI1184740284
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKERRY LEE MATTINGLYCredential: MD
Location AddressW180N7950 TOWN HALL RDMenomonee Falls, WI 53051-4049
Mailing AddressW180n7950 Town Hall RdMenomonee Falls, WI 53051-4049 · (262) 250-5158 · Fax (262) 532-9505
Phone(262) 250-5158
Fax(262) 532-9505
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1992
Enumeration DateMarch 21, 2007
Last NPPES UpdateNovember 4, 2024
NPPES CertifiedNovember 4, 2024
✔ NPI 1184740284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in WI · 52512-20✔ Licensed in OH · 35-069786
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.
W180N7950 TOWN HALL RD, Menomonee Falls, WI 53051
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Other Names 1

Former Name (1)Kerry Lee Hicks Md

Other Identifiers 3

Medicaid100003501WI
Other160044537OH · Railroad
Medicaid0239852OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerry Lee Mattingly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406944156
PECOS Enrollment IDI20090121000256
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 Kerry Mattingly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.
0.1 mi
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
NPI 1568787448 (262) 255-2500
Obhg Wisconsin, S.C.
651 mi
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Obhg Wisconsin Sc
  • 58 clinicians in this Medicare group
NPI 1699273862 (864) 908-3530

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 53051 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

MARIE T ZEIDLER PAC
Physician Assistant
W180N7950 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 255-2500
SANDRA BUSSE P.T.
Physical Therapist
W180N7950 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 255-2500
MELISSA L EARNEST M.D.
Internal Medicine (Gastroenterology)
W180N7950 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 255-2500
SUSAN KROENER D.O.
Obstetrics & Gynecology
W180N7950 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 255-2500
GARY VALESTIN M.D.
Obstetrics & Gynecology
W180N7950 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 255-2500
JENNIFER WEISGERBER M.D.
Family Medicine
W180N7950 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 255-2500
RANDALL KOCH DAWES R.PH.
Pharmacist
W180N7950 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 844-3792
MARK TIMM M.D.
Surgery
W180N7950 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 255-2500

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 Kerry Mattingly's NPI number?

The NPI number for Kerry Mattingly is 1184740284. It was assigned to this individual provider in the NPPES registry on March 21, 2007. The provider is also known as Kerry Lee Hicks MD.

Where is Kerry Mattingly located?

Kerry Mattingly practices at W180n7950 Town Hall Rd, Menomonee Falls, WI 53051. The listed phone number is (262) 250-5158.

What is Kerry Mattingly's specialty?

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

Is Kerry Mattingly enrolled in Medicare?

Yes. Kerry Mattingly is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kerry Mattingly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Mattingly reassigns Medicare benefits to 2 organizations: Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI) and Obhg Wisconsin, S.C. (Greenville, SC). 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 Kerry Mattingly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kerry Mattingly accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Kerry Mattingly 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 Kerry Mattingly was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.