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DR. MATTHEW COGNETTI MD
NPI 1578084497
Pathology - Anatomic Pathology & Clinical Pathology in Tyler, TX

Active since June 30, 2017PECOS EnrolledAccepts Medicare Assignment
800 E DAWSON ST, TYLER, TX 75701(254) 553-1262 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 19, 2026, Aug 12, 2021, Jun 30, 2017 (3 updates tracked since 2017).

About Dr. Matthew Cognetti Md NPPES

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

DR. MATTHEW COGNETTI MD (NPI 1578084497) is an individual anatomic pathology & clinical pathology provider in Tyler, Texas, licensed in Maryland (1578084497) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1578084497
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. MATTHEW COGNETTICredential: MD
Location Address800 E DAWSON STTyler, TX 75701-2036
Mailing Address800 E Dawson StTyler, TX 75701-2036 · (254) 553-1262
Phone(254) 553-1262
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 30, 2017
Last NPPES UpdateJanuary 19, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2026
✔ NPI 1578084497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in MD · 1578084497
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
800 E DAWSON ST, Tyler, TX 75701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.Insurance ›

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. Matthew Cognetti 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 ID3173025111
PECOS Enrollment IDI20250908003022
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

3

Medicare enrollment records show Matthew Cognetti reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gulf Coast Pathology Program PLLC
181 mi
Anatomic Pathology & Clinical Pathology
1313 HERMANN DR
Houston, TX 77004
  • Reassigned Medicare billing, Texas enrollment
  • 42 clinicians in this Medicare group
NPI 1629643069 (713) 527-5000
Austin Pathology Associates
195 mi
Anatomic Pathology & Clinical Pathology
12221 N MOPAC EXPY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 107 clinicians in this Medicare group
NPI 1669414330 (512) 901-1215
Integrated Regional Laboratories Pathology Services, LLC
997 mi
Anatomic Pathology & Clinical Pathology
5301 S CONGRESS AVE, C/O JFK MEDICAL CENTER LABORATORY
Atlantis, FL 33462
  • Reassigned Medicare billing, Florida enrollment
  • 143 clinicians in this Medicare group
NPI 1942526298 (954) 777-0018

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

Hospital Affiliations CMS Care Compare 3

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital Sulphur Springs

Acute Care Hospitals · Sulphur Springs, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450236
Location115 Airport RdSulphur Springs, TX 75482 · Hopkins County
Emergency services Birthing friendly

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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 $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

KIRBY KILE CRNA
Anesthesiology
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 593-8441
MR. BLAKE ALLEN LONG RN
Nurse Practitioner
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 593-8441
DAVID A BRICKEY DO
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 525-1914
DR. ESMAEL FANTAW YIMER MD
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 606-7264
SALEEM ZAIDI M.D.
Anesthesiology (Critical Care Medicine)
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 606-5864
DR. JAMES MICHAEL WILSON MD, MPH
Emergency Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 525-1914
DR. SAILAJA SAKAM M.D.
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 606-4129
JAMES BLAKE KNUTSON MD
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 510-1186

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 Matthew Cognetti's NPI number?

The NPI number for Matthew Cognetti is 1578084497. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Where is Matthew Cognetti located?

Matthew Cognetti practices at 800 E Dawson St, Tyler, TX 75701. The listed phone number is (254) 553-1262.

What is Matthew Cognetti's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Matthew Cognetti enrolled in Medicare?

Yes. Matthew Cognetti 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 Matthew Cognetti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Cognetti reassigns Medicare benefits to 3 organizations: Gulf Coast Pathology Program PLLC (Houston, TX), Austin Pathology Associates (Austin, TX) and Integrated Regional Laboratories Pathology Services, LLC (Atlantis, FL). 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 Matthew Cognetti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Cognetti accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Matthew Cognetti 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 Matthew Cognetti affiliated with any hospitals?

According to CMS data, Matthew Cognetti is affiliated with Christus Mother Frances Hospital, Christus Mother Frances Hospital Sulphur Springs and Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Matthew Cognetti was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.