GENNAYA LYNN MATTISON M.D.
NPI 1407266455
Surgery - Plastic and Reconstructive Surgery in Salem, OR
About Gennaya Lynn Mattison M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENNAYA LYNN MATTISON M.D. (NPI 1407266455) is an individual plastic and reconstructive surgery provider in Salem, Oregon, licensed in Oregon (198745) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gennaya Lynn Mattison M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gennaya Mattison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salem, OR 97302
- Reassigned Medicare billing, Oregon enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gennaya Mattison's NPI number?
The NPI number for Gennaya Mattison is 1407266455. It was assigned to this individual provider in the NPPES registry on April 29, 2014.
Where is Gennaya Mattison located?
Gennaya Mattison practices at 350 Miller St SE Ste 200, Salem, OR 97302. The listed phone number is (503) 400-3434.
What is Gennaya Mattison's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Gennaya Mattison enrolled in Medicare?
Yes. Gennaya Mattison is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gennaya Mattison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gennaya Mattison reassigns Medicare benefits to Arete Medical LLC (Salem, OR). The 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 Gennaya Mattison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gennaya Mattison accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Gennaya Mattison 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.
When was this NPI record last updated?
The NPPES record for Gennaya Mattison was last updated on May 10, 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.
# Gennaya Lynn Mattison, M.D. · NPI 1407266455
Plastic and Reconstructive Surgery physician in Salem, Oregon. Individual provider, active in the CMS NPPES registry since April 29, 2014.
## Identity
- **NPI:** 1407266455 (Entity type: Individual)
- **Enumerated:** April 29, 2014
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** 198745 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 350 MILLER ST SE STE 200, Salem, OR 97302-4272
- **Phone:** (503) 400-3434
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Arete Medical LLC (NPI 1447834064, Salem, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 10, 2021
- **Other identifiers:** Other 198745 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1407266455) · Data from the CMS NPPES public registry.