DR. THOMAS K MATTINGLY III M.D.
NPI 1528038528
Neurological Surgery in Rochester, NY

Q: What is Thomas Mattingly's NPI number?

The NPI number for Thomas Mattingly is 1528038528. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Q: What is Thomas Mattingly's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Mattingly was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 24, 2006PECOS EnrolledAccepts Medicare Assignment

81.1/100

CMS Quality Rating

601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 273-1900(585) 276-2663 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Thomas K Mattingly Iii M.d. NPPES

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

DR. THOMAS K MATTINGLY III M.D. (NPI 1528038528) is an individual neurological surgery provider in Rochester, New York, licensed in New York (291504) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and maintains a secondary practice location in Manakin Sabot.

NPPES Registry Identity

NPI1528038528

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameDR. THOMAS K MATTINGLY IIICredential: M.D.

Location Address601 ELMWOOD AVERochester, NY 14642-2175

Mailing Address601 Elmwood Ave Box 670Rochester, NY 14642-0001 · (585) 273-1900 · Fax (585) 276-2663

Phone(585) 273-1900

Fax(585) 276-2663

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJanuary 24, 2006

Last NPPES UpdateJune 29, 2023

✔ NPI 1528038528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

Licenses✔ Licensed in NY · 291504✔ Licensed in VA · 0101236200

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

601 ELMWOOD AVE, Rochester, NY 14642

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Secondary Practice Location 1

Location 12569 Covey RunManakin Sabot, VA 23103-2175 · Phone (519) 318-3855 · Fax (804) 330-4529

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

Dr. Thomas K Mattingly Iii 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 ID6002897733

PECOS Enrollment IDI20180112001845

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

Medicare enrollment records show Thomas Mattingly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Rochester Neurosurgery Group

Same address

Neurological Surgery

601 ELMWOOD AVE
Rochester, NY 14642

Reassigned Medicare billing, New York enrollment
81 clinicians in this Medicare group

NPI 1780783746 (585) 275-8344

Mary Imogene Bassett Hospital

140 mi

Multi-Specialty

1 ATWELL RD
Cooperstown, NY 13326

Reassigned Medicare billing, New York enrollment
1,052 clinicians in this Medicare group

NPI 1083664221 (607) 547-6858

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 12

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

54 services23 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

35 services31 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.

34 services32 patients

Insertion of tube into brain artery for diagnosis or treatment with review by radiologist 36226

This procedure involves inserting a thin tube into a brain artery. It aids in diagnosing or treating brain conditions. A radiologist reviews the process to ensure accuracy and safety. It's a critical step in managing brain health effectively.

27 services26 patients

Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist 36224

This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.

25 services23 patients

Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist 36227

This procedure involves placing a small tube into an artery in your neck. This is done to diagnose or treat certain conditions. A radiologist, a doctor who specializes in medical imaging, will review the procedure to ensure everything is done correctly.

25 services23 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

20 services20 patients

Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist 36223

This procedure involves placing a tube into an artery in the brain. It's typically done for diagnostic purposes or treatment. A radiologist, a doctor specializing in imaging, reviews the process to ensure accuracy and safety.

17 services16 patients

Insertion of tube into chest artery for diagnosis or treatment with review by radiologist 36225

This procedure involves placing a small tube into a chest artery. It helps diagnose or treat certain heart conditions. A radiologist, a doctor specialized in imaging techniques, will review the results to ensure accuracy and effectiveness.

17 services16 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

17 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services12 patients

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.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330074

Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County

Emergency services Birthing friendly

Arnot Ogden Medical Center

Acute Care Hospitals · Elmira, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330090

Location600 Roe AvenueElmira, NY 14905 · Chemung County

Emergency services Birthing friendly

Corning Hospital

Acute Care Hospitals · Corning, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330277

Location1 Guthrie DriveCorning, NY 14830 · Steuben County

Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330285

Location601 Elmwood AveRochester, NY 14642 · Monroe County

Emergency services Birthing friendly

Cayuga Medical Center At Ithaca

Acute Care Hospitals · Ithaca, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330307

Location101 Dates DriveIthaca, NY 14850 · Tompkins County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

81.1/100

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

Scored as part of a group practice

Quality

63.67

Promoting Interoperability

100

Improvement Activities

Cost

60.69

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.

CARIE E BRADT RPA-C

Physician Assistant

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-6070

DR. RITA DADIZ DO

Pediatrics (Neonatal-Perinatal Medicine)

601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642

Monroe County (585) 275-7787

DR. SCOTT ROSS SCHIFFMAN M.D.

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642

Monroe County (585) 275-1128

SARAH ANNE ROSSI FNP

Nurse Practitioner (Family)

601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642

Monroe County (585) 279-5100

JIMENA CUBILLOS MD

Urology (Pediatric Urology)

601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642

Monroe County (585) 275-3342

MRS. ANNE SCHERBERGER KEEFER RN NP

Nurse Practitioner (Adult Health)

601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642

Monroe County (585) 275-5307

SCOTT OVERHOLT DDS

Student in an Organized Health Care Education/Training Program

601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642

Monroe County (585) 275-7978

MS. SARAH L AVERILL MD

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-2100

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 Mattingly's NPI number?

The NPI number for Thomas Mattingly is 1528038528. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Thomas Mattingly located?

Thomas Mattingly practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 273-1900.

What is Thomas Mattingly's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Thomas Mattingly enrolled in Medicare?

Yes. Thomas Mattingly 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 Thomas Mattingly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Mattingly reassigns Medicare benefits to 2 organizations: University Of Rochester Neurosurgery Group (Rochester, NY) and Mary Imogene Bassett Hospital (Cooperstown, 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 Thomas Mattingly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Thomas Mattingly affiliated with any hospitals?

According to CMS data, Thomas Mattingly is affiliated with F F Thompson Hospital, Arnot Ogden Medical Center, Corning Hospital, Strong Memorial Hospital and Cayuga Medical Center At Ithaca.

When was this NPI record last updated?

The NPPES record for Thomas Mattingly was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.