MELANIE DANIELLE MATTSON MD
NPI 1609839091
Internal Medicine - Cardiovascular Disease in Winchester, VA

Active since April 08, 2006PECOS Enrolled
1880 AMHERST STREET, SUITE 100 AND SUITE 200, WINCHESTER, VA 22601(540) 662-0306(855) 264-2066 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 14, 2021, Mar 13, 2021, Jul 19, 2019 (3 updates tracked since 2019).

About Melanie Danielle Mattson Md NPPES

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

MELANIE DANIELLE MATTSON MD (NPI 1609839091) is an individual cardiovascular disease provider in Winchester, Virginia, licensed in Virginia (0101642786) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1987).

NPPES Registry Identity

NPI1609839091
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameMELANIE DANIELLE MATTSONCredential: MD
Location Address1880 AMHERST STREET, SUITE 100 AND SUITE 200Winchester, VA 22601
Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2896 · (540) 536-5100 · Fax (540) 536-0235
Fax(855) 264-2066
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1987
Enumeration DateApril 8, 2006
Last NPPES UpdateSeptember 14, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2021
NPI 1609839091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in VA · 0101642786
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1880 AMHERST STREET, Winchester, VA 22601

Other Identifiers 12

Other2119642Mamsi Professional
Other550941600MD · Md Medicare Group
OtherP00656342Railroad Medicare
Other08247400000Qualchoice Professional
Other3810003817WV · Wv Medicaid Group
OtherC00085VA · Va Medicare Group
Medicaid006012124VA
Other000553833WV · Wv Blue Shield
Medicaid0075072000WV
Medicaid412529100MD
Other44155Sentara Professional
Other100465Anthem Professional

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Melanie Danielle Mattson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779526264
PECOS Enrollment IDI20080801000139, I20160726001622
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 11

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
6,289 services4,011 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.
1,083 services866 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,065 services868 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
224 services103 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
133 services133 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
94 services92 patients

Hospital Affiliations CMS Care Compare 5

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491305
Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County
Emergency services

Valley Health War Memorial Hospital

Critical Access Hospitals · Berkeley Springs, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511309
Location1 Healthy WayBerkeley Springs, WV 25411 · Morgan County
Emergency services

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511311
Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1880 AMHERST STREET, SUITE 100 AND SUITE 200
WINCHESTER, VA 22601
Internal Medicine (Interventional Cardiology)
1880 AMHERST STREET, SUITE 100 AND SUITE 200
WINCHESTER, VA 22601
Internal Medicine (Cardiovascular Disease)
1880 AMHERST STREET, SUITE 100 AND SUITE 200
WINCHESTER, VA 22601
Nurse Practitioner (Family)
1880 AMHERST STREET, SUITE 100 & SUITE 200
WINCHESTER, VA 22601
Physician Assistant
1880 AMHERST STREET, SUITE 300
WINCHESTER, VA 22601
Internal Medicine (Interventional Cardiology)
1880 AMHERST STREET, SUITE 100 AND SUITE 200
WINCHESTER, VA 22601
Internal Medicine (Cardiovascular Disease)
1880 AMHERST STREET, SUITE 100
WINCHESTER, VA 22601
Internal Medicine (Cardiovascular Disease)
1880 AMHERST STREET, SUITE 100 AND SUITE 200
WINCHESTER, VA 22601

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 Melanie Mattson's NPI number?

The NPI number for Melanie Mattson is 1609839091. It was assigned to this individual provider in the NPPES registry on April 8, 2006.

Where is Melanie Mattson located?

Melanie Mattson practices at 1880 Amherst Street Suite 100 And Suite 200, Winchester, VA 22601. The listed phone number is (540) 662-0306.

What is Melanie Mattson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Melanie Mattson enrolled in Medicare?

Yes. Melanie Mattson is registered in the Medicare PECOS enrollment system.

What insurance does Melanie Mattson accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Melanie Mattson 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 Melanie Mattson affiliated with any hospitals?

According to CMS data, Melanie Mattson is affiliated with Winchester Medical Center, Warren Memorial Hospital, Shenandoah Memorial Hospital, Valley Health War Memorial Hospital and Hampshire Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Mattson was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.