MAHENDRA K MATTA MD
NPI 1518936814
Surgery in Cincinnati, OH

Q: What is Mahendra Matta's NPI number?

The NPI number for Mahendra Matta is 1518936814. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Q: What is Mahendra Matta's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Mahendra Matta was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment

90.38/100

CMS Quality Rating

10496 MONTGOMERY RD, SUITE 204, CINCINNATI, OH 45242(513) 793-9835(513) 793-9837 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mahendra K Matta Md NPPES

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

MAHENDRA K MATTA MD (NPI 1518936814) is an individual surgery provider in Cincinnati, Ohio, licensed in Ohio (35-04263) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Fairfield Hospital, and is a graduate of Other (1970).

NPPES Registry Identity

NPI1518936814

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMAHENDRA K MATTACredential: MD

Location Address10496 MONTGOMERY RD, SUITE 204Cincinnati, OH 45242-5223

Mailing Address10496 Montgomery Rd, Suite 204Cincinnati, OH 45242-5223 · (513) 793-9835 · Fax (513) 793-9837

Phone(513) 793-9835

Fax(513) 793-9837

Sole ProprietorNo

Medical School CMSOtherGraduated 1970

Enumeration DateMarch 17, 2006

Last NPPES UpdateJanuary 7, 2015

✔ NPI 1518936814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OH · 35-04263

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

10496 MONTGOMERY RD, Cincinnati, OH 45242

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Other Identifiers 7

Other000000009386OH · Anthem Provider

Medicaid0384221OH

Medicare PINMA0449921OH

Other1720085OH · United Healthcare

Medicare UPINCO1556OH

Other310983038OH · Cigna Provider

Other310983038OH · Aetna Provider

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Mahendra K Matta 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 ID8628961711

PECOS Enrollment IDI20090807000034

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 13

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.

194 services133 patients

Diagnostic exam of rectum and lower large bowel using an endoscope 45300

This procedure, known as a sigmoidoscopy, involves using a thin, flexible instrument called an endoscope to examine your lower large bowel and rectum. This helps in identifying any abnormalities or issues that could affect your digestive health.

100 services71 patients

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

55 services48 patients

Destruction of internal hemorrhoids using heat 46930

This procedure involves using heat to treat internal hemorrhoids. A specialized device generates heat to shrink the hemorrhoid, alleviating discomfort. It's a quick, minimally invasive process with a fast recovery time. It's a common, safe procedure for hemorrhoid relief.

48 services19 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

45 services45 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

45 services45 patients

Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes 99234

Hospital observation or inpatient care is a brief medical service where you're admitted and discharged on the same day. This typically lasts about 40 minutes and is for low severity issues. It involves monitoring your condition, administering necessary treatment, and ensuring your well-being before discharge.

42 services42 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

39 services39 patients

Removal of external hemorrhoids by rubber banding 46221

Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.

34 services17 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

31 services31 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

21 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 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.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360056

Location3000 Mack RoadFairfield, OH 45014 · Butler County

Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360134

Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

90.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.76

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

0%540 patients1/55-star benchmark: 100%

Colorectal Cancer Screening

73%622 patients4/55-star benchmark: 88%

Diabetes: Eye Exam

0%57 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%57 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

90%1,712 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

23%954 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%1,690 patients1/55-star benchmark: 61%

Provide Patients Electronic Access to Their Health Information

90%332 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

71%65 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 465 patients

Patients totalRate: 0% · 465 patients

0%465 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

VIRGINIA WEALE MS, RD, LD, CDE

Dietitian, Registered

10496 MONTGOMERY RD, STE 206
CINCINNATI, OH 45242

Hamilton County (513) 865-1445

BENJAMIN PATRICK KLEINHENZ MD

Orthopaedic Surgery (Hand Surgery)

10496 MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 354-3700

SESHA NANDYAL DO

Obstetrics & Gynecology

10496 MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 671-7700

DR. MARK J. THOMAS M.D.

Surgery

10496 MONTGOMERY RD, STE 203
CINCINNATI, OH 45242

Hamilton County (513) 865-2348

TRIHEALTH PHYSICIAN INSTITUTE

Surgery (Trauma Surgery)

10496 MONTGOMERY RD, SUITE 203
CINCINNATI, OH 45242

Hamilton County (513) 745-2358

TRIHEALTH G., LLC

Surgery

10496 MONTGOMERY RD, STE 203
CINCINNATI, OH 45242

Hamilton County (513) 745-4706

DR. ROBIN ESTES M.D.

Internal Medicine (Nephrology)

10496 MONTGOMERY RD, #110
CINCINNATI, OH 45242

Hamilton County (513) 791-7572

JACQUELINE JOYCE OT

Occupational Therapist

10496 MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 792-7936

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 Mahendra Matta's NPI number?

The NPI number for Mahendra Matta is 1518936814. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Mahendra Matta located?

Mahendra Matta practices at 10496 Montgomery Rd Suite 204, Cincinnati, OH 45242. The listed phone number is (513) 793-9835.

What is Mahendra Matta's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mahendra Matta enrolled in Medicare?

Yes. Mahendra Matta 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 Mahendra Matta accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list Mahendra Matta 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 Mahendra Matta affiliated with any hospitals?

According to CMS data, Mahendra Matta is affiliated with Mercy Health - Fairfield Hospital and Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Mahendra Matta was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.