MATTHEW TAYLOR PATTILLO MD
NPI 1295994770
Internal Medicine - Pulmonary Disease in Dallas, TX

Active since June 09, 2008PECOS EnrolledAccepts Medicare Assignment
74.33/100
CMS Quality Rating
5201 HARRY HINES BLVD, HOUSE STAFF & GME, DALLAS, TX 75235(214) 590-8058 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew Taylor Pattillo Md NPPES

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

MATTHEW TAYLOR PATTILLO MD (NPI 1295994770) is an individual pulmonary disease provider in Dallas, Texas, licensed in Texas (N5326) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of University Of Texas Medical School At San Antonio (2008).

NPPES Registry Identity

NPI1295994770
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMATTHEW TAYLOR PATTILLOCredential: MD
Location Address5201 HARRY HINES BLVD, HOUSE STAFF & GMEDallas, TX 75235-7708
Mailing AddressPo Box 18962Belfast, ME 04915-4084 · (800) 566-5050 · Fax (254) 537-6869
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2008
Enumeration DateJune 9, 2008
Last NPPES UpdateJanuary 6, 2017
NPI 1295994770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TX · N5326
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License N5326 (TX)
5201 HARRY HINES BLVD, Dallas, TX 75235

Accepted 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

Matthew Taylor Pattillo 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 ID2961666581
PECOS Enrollment IDI20120612000244
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 24

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
401 services186 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
223 services154 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
216 services78 patients
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.
203 services176 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
197 services132 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
176 services148 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Limestone Medical Center

Critical Access Hospitals · Groesbeck, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451303
Location701 Mcclintic DriveGroesbeck, TX 76642 · Limestone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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.

74.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.69
Promoting Interoperability100
Improvement Activities40
Cost41.75

Reported Quality Measures

Advance Care Plan
36%1,168 patients2/55-star benchmark: 100%
Breast Cancer Screening
32%257 patients2/55-star benchmark: 93%
Cervical Cancer Screening
24%124 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
60%55 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
37%533 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
70%353 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Antiplatelet Therapy
83%24 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
18%107 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
48%107 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
51%1,866 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
32%601 patients2/55-star benchmark: 100%
HIV Screening
6%311 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%862 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
27%694 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%631 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 731 patients
Patients screened: 99% · 731 patients
78%137 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 39% · 377 patients
36%377 patients
Screening for Osteoporosis for Women Aged 65-85 Years of Age
32%268 patients2/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%322 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 609 patients
Patients totalRate: 9% · 634 patients
11%634 patients3/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 17

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers17 claims34 services$1.45 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers11 claims66 services$17.84 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers13 claims13 services$61.56 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers18 claims18 services$16.70 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers19 claims109 services$2.31 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers146 claims146 services$15.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
5201 HARRY HINES BLVD, HOUSE STAFF & GME
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
5201 HARRY HINES BLVD, HOUSE STAFF & GME
DALLAS, TX 75235
Nurse Practitioner (Neonatal)
5201 HARRY HINES BLVD
DALLAS, TX 75235
Internal Medicine (Gastroenterology)
5201 HARRY HINES BLVD, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
5201 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Practitioner (Women's Health)
5201 HARRY HINES BLVD
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
5201 HARRY HINES BLVD, HOUSE STAFF & GME
DALLAS, TX 75235
Nurse Anesthetist, Certified Registered
5201 HARRY HINES BLVD, DEPT. OF ANESTHESIOLOGY
DALLAS, TX 75235

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 Matthew Pattillo's NPI number?

The NPI number for Matthew Pattillo is 1295994770. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Matthew Pattillo located?

Matthew Pattillo practices at 5201 Harry Hines Blvd House Staff & Gme, Dallas, TX 75235. The listed phone number is (214) 590-8058.

What is Matthew Pattillo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Matthew Pattillo enrolled in Medicare?

Yes. Matthew Pattillo 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 Matthew Pattillo accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Matthew Pattillo 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 Matthew Pattillo affiliated with any hospitals?

According to CMS data, Matthew Pattillo is affiliated with Ascension Providence and Limestone Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Pattillo was last updated on January 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.