ANIL MATTOO M.D.
NPI 1356339139
Internal Medicine - Pulmonary Disease in Patchogue, NY

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
285 SILLS ROAD, BLDG. 7, SUITE B, PATCHOGUE, NY 11772(631) 654-4577(631) 654-3391 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Nov 4, 2022 (2 updates tracked since 2022).

About Anil Mattoo M.d. NPPES

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

ANIL MATTOO M.D. (NPI 1356339139) is an individual pulmonary disease provider in Patchogue, New York, licensed in New York (258417) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1356339139
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameANIL MATTOOCredential: M.D.
Location Address285 SILLS ROAD, BLDG. 7, SUITE BPatchogue, NY 11772
Mailing Address285 Sills Road, Bldg. 7, Suite BPatchogue, NY 11772 · (631) 654-4577 · Fax (631) 654-3391
Fax(631) 654-3391
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 6, 2005
Last NPPES UpdateFebruary 28, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2024
NPI 1356339139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in NY · 258417 Licensed in NY · 003037 Licensed in NV · 10638
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 10638 (NV)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 003037 (NY), 10638 (NV), 258417 (NY)
285 SILLS ROAD, Patchogue, NY 11772

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

Anil Mattoo 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 ID4385663814
PECOS Enrollment IDI20081203000476
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 16

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 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.
713 services285 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.
512 services351 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.
423 services348 patients
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.
312 services176 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
303 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
197 services180 patients

Hospital Affiliations CMS Care Compare 2

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

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 23

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers155 claims155 services$32.13 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers138 claims138 services$72.27 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers144 claims387 services$26.97 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers161 claims794 services$14.84 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers65 claims319 services$12.23 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
12 suppliers217 claims217 services$43.45 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 7

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

Internal Medicine (Cardiovascular Disease)
285 SILLS ROAD, BUILDING #14
EAST PATCHOGUE, NY 11772
Occupational Therapist
285 SILLS ROAD, BLDG 18
EAST PATCHOGUE, NY 11772
Internal Medicine (Cardiovascular Disease)
285 SILLS ROAD, BUILDING # 14
EAST PATCHOGUE, NY 11772
Anesthesiology (Pain Medicine)
285 SILLS ROAD, BUILDING 15, SUITE F
EAST PATCHOGUE, NY 11772
Pediatrics
285 SILLS ROAD, BLDG 1 SUITE A
EAST PATCHOGUE, NY 11772
Dentist (Oral and Maxillofacial Surgery)
285 SILLS ROAD, BLDG 2, STE A
PATCHOGUE, NY 11772
Internal Medicine (Cardiovascular Disease)
285 SILLS ROAD, BUILDING 14
EAST PATCHOGUE, NY 11772

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 Anil Mattoo's NPI number?

The NPI number for Anil Mattoo is 1356339139. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Anil Mattoo located?

Anil Mattoo practices at 285 Sills Road Bldg. 7, Suite B, Patchogue, NY 11772. The listed phone number is (631) 654-4577.

What is Anil Mattoo's specialty?

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

Is Anil Mattoo enrolled in Medicare?

Yes. Anil Mattoo 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.

Is Anil Mattoo affiliated with any hospitals?

According to CMS data, Anil Mattoo is affiliated with Long Island Community Hospital and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Anil Mattoo was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.