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JAMES ROBERT MATTSON MD
NPI 1396109971
Emergency Medicine in Evanston, IL

Active since April 08, 2016PECOS EnrolledAccepts Medicare Assignment
2650 RIDGE AVE. EMERGENCY MEDICINE, EVANSTON, IL 60201(847) 570-2114 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 4, 2024, May 5, 2020 (2 updates tracked since 2020).

About James Robert Mattson Md NPPES

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

JAMES ROBERT MATTSON MD (NPI 1396109971) is an individual emergency medicine provider in Evanston, Illinois, licensed in Illinois (036166108) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396109971
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES ROBERT MATTSONCredential: MD
Location Address2650 RIDGE AVE. EMERGENCY MEDICINEEvanston, IL 60201-1718
Mailing Address2650 Ridge Ave. Emergency MedicineEvanston, IL 60201-1718 · (847) 570-2114
Phone(847) 570-2114
Sole ProprietorYes
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2016
Enumeration DateApril 8, 2016
Last NPPES UpdateOctober 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2023
✔ NPI 1396109971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036166108✔ Licensed in NY · 304319
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2650 RIDGE AVE. EMERGENCY MEDICINE, Evanston, IL 60201
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Secondary Practice Locations 2

Location 14901 Searle PkwySkokie, IL 60077-5313 · Phone (847) 982-6710
Location 2525 E 68th St, Emergency Medicine ResidencyNew York, NY 10065-4870 · Phone (212) 746-4055

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Robert Mattson 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 ID6406194125
PECOS Enrollment IDI20241017002239
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.

Medicare Billing Reassignments

5

Medicare enrollment records show James Mattson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endeavor Health Medical Group
Same address
Anesthesiology
2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1265695944 (847) 570-2760
University Of Pittsburgh Physicians
382 mi
Neurological Surgery
425 W FIFTH ST, EAST LIVERPOOL CITY HOSPITAL
East Liverpool, OH 43920
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1811945793 (330) 386-3195
Icahn School Of Medicine At Mount Sinai
717 mi
Emergency Medicine
638 COLUMBUS AVE
New York, NY 10024
  • Reassigned Medicare billing, New York enrollment
  • 245 clinicians in this Medicare group
NPI 1124392238 (212) 731-7693
Fpa Hospital Based
718 mi
Nuclear Medicine
1 GUSTAVE L LEVY PL
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 1,067 clinicians in this Medicare group
NPI 1205179140 (212) 241-6381
Icahn School Of Medicine At Mount Sinai
718 mi
Rehabilitation Practitioner
5 E 98TH ST FL 6, BOX 1240B
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 67 clinicians in this Medicare group
NPI 1386980985 (212) 241-5643

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
392 services387 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
102 services101 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.
50 services50 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 James Mattson's NPI number?

The NPI number for James Mattson is 1396109971. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is James Mattson located?

James Mattson practices at 2650 Ridge Ave. Emergency Medicine, Evanston, IL 60201. The listed phone number is (847) 570-2114.

What is James Mattson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Mattson enrolled in Medicare?

Yes. James Mattson 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.

Which organizations bill Medicare for James Mattson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Mattson reassigns Medicare benefits to 5 organizations: Endeavor Health Medical Group (Evanston, IL), University Of Pittsburgh Physicians (East Liverpool, OH), Icahn School Of Medicine At Mount Sinai (New York, NY), Fpa Hospital Based (New York, NY) and Icahn School Of Medicine At Mount Sinai (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Mattson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Mattson affiliated with any hospitals?

According to CMS data, James Mattson is affiliated with Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for James Mattson was last updated on October 4, 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.