1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. Obstetrics Gynecology
  6. NPI Profile

DR. THOMAS F MATTOX M.D.
NPI 1437113537
Obstetrics & Gynecology in Columbia, SC

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
2 MEDICAL PARK RD STE LL9/10, COLUMBIA, SC 29203(803) 545-5700(803) 434-6642 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2020, Mar 20, 2018 (2 updates tracked since 2018).

About Dr. Thomas F Mattox M.d. NPPES

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

DR. THOMAS F MATTOX M.D. (NPI 1437113537) is an individual obstetrics & gynecology provider in Columbia, South Carolina, licensed in South Carolina (18432) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Medford Hospital & Clinics, Inc, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1987).

NPPES Registry Identity

NPI1437113537
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. THOMAS F MATTOXCredential: M.D.
Location Address2 MEDICAL PARK RD STE LL9/10Columbia, SC 29203-6839
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330
Phone(803) 545-5700
Fax(803) 434-6642
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1987
Enumeration DateApril 14, 2006
Last NPPES UpdateSeptember 11, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2020
✔ NPI 1437113537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in SC · 18432
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2 MEDICAL PARK RD STE LL9/10, Columbia, SC 29203
Open in Google Maps ↗

Other Identifiers 1

MedicaidT24355SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield.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

Dr. Thomas F Mattox 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 ID7911940408
PECOS Enrollment IDI20050606000839, I20251104003736
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 7

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.

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.
81 services53 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
72 services69 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.
46 services46 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
35 services30 patients
Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729
This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.
24 services24 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Aspirus Medford Hospital & Clinics, Inc

Critical Access Hospitals · Medford, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521324
Location135 S Gibson StMedford, WI 54451 · Taylor County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

WENDY JOANNE HARTSHORNE M.D.
Obstetrics & Gynecology
2 MEDICAL PARK RD STE LL9/10
COLUMBIA, SC 29203
Richland County (803) 545-5700
HARRIETT Y SMITH NP
Nurse Practitioner (Family)
2 MEDICAL PARK RD STE LL9/10
COLUMBIA, SC 29203
Richland County (803) 545-5700
KERRY M. SIMS M.D.
Obstetrics & Gynecology
2 MEDICAL PARK RD STE LL9/10
COLUMBIA, SC 29203
Richland County (803) 545-5700
MATTHEW J LENHARD MD
Obstetrics & Gynecology
2 MEDICAL PARK RD STE LL9/10
COLUMBIA, SC 29203
Richland County (803) 545-5700

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 Mattox's NPI number?

The NPI number for Thomas Mattox is 1437113537. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Thomas Mattox located?

Thomas Mattox practices at 2 Medical Park Rd Ste Ll9/10, Columbia, SC 29203. The listed phone number is (803) 545-5700.

What is Thomas Mattox's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Thomas Mattox enrolled in Medicare?

Yes. Thomas Mattox 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 Mattox accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Anthem Blue Cross and Blue Shield list Thomas Mattox 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 Mattox affiliated with any hospitals?

According to CMS data, Thomas Mattox is affiliated with Aspirus Medford Hospital & Clinics, Inc.

When was this NPI record last updated?

The NPPES record for Thomas Mattox was last updated on September 11, 2020. 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.