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

Q: 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.

Q: What is Kerry Mattingly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kerry Mattingly was last updated on November 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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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 CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

CHARLES HOLMBURG M.D.

Internal Medicine