MR. THOMAS GERARD MATTIO MD
NPI 1356382535
Psychiatry & Neurology - Neurology in Neenah, WI

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
1305 W AMERICAN DR, NEENAH, WI 54956(920) 725-9373(920) 720-7392 Get Directions Write a Review

NPPES record last updated: March 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Thomas Gerard Mattio Md NPPES

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

MR. THOMAS GERARD MATTIO MD (NPI 1356382535) is an individual neurology provider in Neenah, Wisconsin, licensed in Wisconsin (34428) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Medical College Of Georgia School Of Medicine (1981).

NPPES Registry Identity

NPI1356382535
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMR. THOMAS GERARD MATTIOCredential: MD
Location Address1305 W AMERICAN DRNeenah, WI 54956-1993
Mailing Address1305 W American DrNeenah, WI 54956-1993 · (920) 725-9373 · Fax (920) 720-7392
Fax(920) 720-7392
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1981
Enumeration DateJune 9, 2006
Last NPPES UpdateMarch 15, 2012
NPI 1356382535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in WI · 34428
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1305 W AMERICAN DR, Neenah, WI 54956

Other Identifiers 4

Medicaid31956600WI
Other130010682WI · Railroad Medicaer
Medicare UPINE50569
Medicare ID-Type Unspecified000745430WI

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

Mr. Thomas Gerard Mattio 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 ID5698689586
PECOS Enrollment IDI20060307000517
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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
34,900 services35 patients
Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874
This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.
115 services35 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
84 services59 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.
69 services49 patients
Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity 64642
This procedure involves injecting a chemical into specific muscles in your arm or leg, causing temporary paralysis. It targets 1-4 muscles in the first extremity. It's often used to manage conditions that cause muscle spasms or overactivity.
53 services17 patients
Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity 64643
This procedure involves injecting a special chemical into 1-4 muscles in an arm or leg to temporarily paralyze them. This can help manage pain or muscle disorders. If needed, the process can be repeated on an additional limb.
41 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54956 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Nurse Practitioner (Family)
1305 W AMERICAN DR
NEENAH, WI 54956
Occupational Therapist
1305 W AMERICAN DR
NEENAH, WI 54956
Psychiatry & Neurology (Neurology)
1305 W AMERICAN DR
NEENAH, WI 54956
Physical Therapist
1305 W AMERICAN DR
NEENAH, WI 54956
Physical Medicine & Rehabilitation
1305 W AMERICAN DR
NEENAH, WI 54956
Physical Therapist
1305 W AMERICAN DR
NEENAH, WI 54956
Psychiatry & Neurology (Neurology)
1305 W AMERICAN DR
NEENAH, WI 54956
Speech-Language Pathologist
1305 W AMERICAN DR
NEENAH, WI 54956

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 Thomas Mattio's NPI number?

The NPI number for Thomas Mattio is 1356382535. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Thomas Mattio located?

Thomas Mattio practices at 1305 W American Dr, Neenah, WI 54956. The listed phone number is (920) 725-9373.

What is Thomas Mattio's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Thomas Mattio enrolled in Medicare?

Yes. Thomas Mattio 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 Thomas Mattio accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Thomas Mattio 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 Thomas Mattio affiliated with any hospitals?

According to CMS data, Thomas Mattio is affiliated with Thedacare Regional Med Ctr - Neenah and Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Thomas Mattio was last updated on March 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.