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DOUGLAS MATTOX M.D.
NPI 1215048442
Otolaryngology - Otology & Neurotology in Atlanta, GA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
550 PEACHTREE ST NE DEPT OF, ATLANTA, GA 30308(404) 778-3381(404) 778-4295 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas Mattox M.d. NPPES

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

DOUGLAS MATTOX M.D. (NPI 1215048442) is an individual otology & neurotology provider in Atlanta, Georgia, licensed in Georgia (45291) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Yale University School Of Medicine (1973).

NPPES Registry Identity

NPI1215048442
Entity TypeIndividualMale
Primary Taxonomy207YX0901X
Provider Legal NameDOUGLAS MATTOXCredential: M.D.
Location Address550 PEACHTREE ST NE DEPT OFAtlanta, GA 30308-2247
Mailing Address1365a Clifton Rd Ne, Department Of Otolaryngology - Head And Neck SurgeryAtlanta, GA 30322-1013 · (404) 778-3381 · Fax (404) 778-4295
Phone(404) 778-3381
Fax(404) 778-4295
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 1973
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
✔ NPI 1215048442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
License✔ Licensed in GA · 45291
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 45291 (GA)
550 PEACHTREE ST NE DEPT OF, Atlanta, GA 30308
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Douglas Mattox 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 ID5597958710
PECOS Enrollment IDI20101020001094
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 8

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
121 services106 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
102 services102 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
69 services56 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
31 services30 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
26 services26 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Other Providers at the Same Location NPPES 5

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

DR. CHARLES MARCUS MD
Nuclear Medicine
550 PEACHTREE ST NE DEPT OF
ATLANTA, GA 30308
Fulton County (404) 712-4843
CHIA-LIN WINCHESTER
Anesthesiology
550 PEACHTREE ST NE DEPT OF
ATLANTA, GA 30308
Fulton County (404) 788-4529
JOHN EDWARD LEWIS JR. MD
Emergency Medicine
550 PEACHTREE ST NE DEPT OF
ATLANTA, GA 30308
Fulton County (404) 686-7449
SHANE WHEELUS AGACNP-BC
Nurse Practitioner (Acute Care)
550 PEACHTREE ST NE DEPT OF
ATLANTA, GA 30308
Fulton County (404) 686-4411
FAISAL KHOSA M.D, FFRRCSI, FRCPC
Radiology (Diagnostic Radiology)
550 PEACHTREE ST NE DEPT OF, EUHM, EMERGENCY RADIOLOGY DIVISION.
ATLANTA, GA 30308
Fulton County (404) 686-5612

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 Douglas Mattox's NPI number?

The NPI number for Douglas Mattox is 1215048442. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Douglas Mattox located?

Douglas Mattox practices at 550 Peachtree St NE Dept Of, Atlanta, GA 30308. The listed phone number is (404) 778-3381.

What is Douglas Mattox's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is Douglas Mattox enrolled in Medicare?

Yes. Douglas Mattox 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 Douglas Mattox accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Douglas Mattox 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 Douglas Mattox affiliated with any hospitals?

According to CMS data, Douglas Mattox is affiliated with Emory University Hospital, Emory University Hospital Midtown and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Mattox was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.