MICHAEL S MATTIA MD
NPI 1619536331
Family Medicine in Kalamazoo, MI

Active since June 06, 2019PECOS EnrolledAccepts Medicare Assignment
1000 OAKLAND DR, KALAMAZOO, MI 49008(269) 349-2641 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 17, 2022, Jun 6, 2019 (2 updates tracked since 2019).

About Michael S Mattia Md NPPES

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

MICHAEL S MATTIA MD (NPI 1619536331) is an individual family medicine provider in Kalamazoo, Michigan, licensed in Minnesota (72256) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1619536331
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL S MATTIACredential: MD
Location Address1000 OAKLAND DRKalamazoo, MI 49008-1282
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 6, 2019
Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
NPI 1619536331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 72256
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4351045469 (MI)
1000 OAKLAND DR, Kalamazoo, MI 49008

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 and accepts Medicare assignment

Michael S Mattia 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 ID7113251281
PECOS Enrollment IDI20220830003353
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 9

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 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.
147 services74 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
118 services73 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.
57 services42 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.
37 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
20 services11 patients

Hospital Affiliations CMS Care Compare 3

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

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Grand Itasca Clinic And Hospital

Acute Care Hospitals · Grand Rapids, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240064
Location1601 Golf Course RoadGrand Rapids, MN 55744 · Itasca County
Emergency services Birthing friendly

Essentia Health Deer River

Critical Access Hospitals · Deer River, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241360
Location115 10th Avenue NortheastDeer River, MN 56636 · Itasca County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49008 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Pediatrics (Pediatric Endocrinology)
1000 OAKLAND DR
KALAMAZOO, MI 49008
Emergency Medicine
1000 OAKLAND DR
KALAMAZOO, MI 49008
Emergency Medicine
1000 OAKLAND DR
KALAMAZOO, MI 49008
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008

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 Michael Mattia's NPI number?

The NPI number for Michael Mattia is 1619536331. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Michael Mattia located?

Michael Mattia practices at 1000 Oakland Dr, Kalamazoo, MI 49008. The listed phone number is (269) 349-2641.

What is Michael Mattia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Mattia enrolled in Medicare?

Yes. Michael Mattia 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 Michael Mattia accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Michael Mattia 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 Michael Mattia affiliated with any hospitals?

According to CMS data, Michael Mattia is affiliated with North Memorial Health Hospital, Grand Itasca Clinic And Hospital and Essentia Health Deer River.

When was this NPI record last updated?

The NPPES record for Michael Mattia was last updated on August 17, 2022. 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.