DENISE PINE-MATTAS MD
NPI 1659313989
Family Medicine in Marshall, IL

Q: What is Denise Pine-mattas's NPI number?

The NPI number for Denise Pine-mattas is 1659313989. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Denise Pine-mattas's specialty?

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

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment

410 N 2ND ST, MARSHALL, IL 62441(217) 826-2361(217) 826-2366 Get Directions Write a Review

NPPES record last updated: October 18, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Denise Pine-mattas Md NPPES

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

DENISE PINE-MATTAS MD (NPI 1659313989) is an individual family medicine provider in Marshall, Illinois, licensed in Illinois (036114511) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Paris Community Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2003).

NPPES Registry Identity

NPI1659313989

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDENISE PINE-MATTASCredential: MD

Location Address410 N 2ND STMarshall, IL 62441-1010

Mailing AddressPo Box 2505Indianapolis, IN 46206-2505 · (812) 238-7783 · Fax (812) 238-4506

Phone(217) 826-2361

Fax(217) 826-2366

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2003

Enumeration DateJune 12, 2006

Last NPPES UpdateOctober 18, 2010

✔ NPI 1659313989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036114511✔ Licensed in IN · 01060692A

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.

410 N 2ND ST, Marshall, IL 62441

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Other Identifiers 12

Medicare UPINI74210IL

Medicare PINK39690IL

OtherP00459732IL · Rr Medicare

Medicaid036114511IL

Medicare PIN941090V7IN

Medicaid200876850IN

Medicare PINP00459735IN

Medicare PIN130910LLIN

Medicare PIN854700HHHHIN

OtherP00459735IN · Rr Medicare

Medicare PINP00459732IL

Medicare PIN252060A7IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Denise Pine-mattas 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 ID2264531698

PECOS Enrollment IDI20070625000742, I20070730000841

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 Denise Pine-mattas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Union Hospital Inc

Same address

Rural Health

408 N 2ND ST
Marshall, IL 62441

Reassigned Medicare billing, Illinois and Indiana enrollments
Also billed through NPI 1972895266 (Indiana)
10 clinicians in this Medicare group

NPI 1952335192 (217) 826-2361

Union Associated Physicians Clinic, LLC

16 mi

Family Medicine

221 S 6TH ST
Terre Haute, IN 47807

Reassigned Medicare billing, Indiana enrollment
306 clinicians in this Medicare group

NPI 1891028379 (812) 232-0564

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.

Paris Community Hospital

Critical Access Hospitals · Paris, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number141320

Location721 E Court StreetParis, IL 61944 · Edgar County

Emergency services

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150023

Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County

Emergency services Birthing friendly

Union Hospital Clinton

Critical Access Hospitals · Clinton, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151326

Location801 S Main StClinton, IN 47842 · Vermillion County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62441 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers59 claims140 services$6.15 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers13 claims21 services$1.14 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

8 suppliers11 claims11 services$23.17 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers13 claims13 services$17.37 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

7 suppliers16 claims80 services$2.36 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers19 claims19 services$101.10 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.

MARK DAVID MARTIN COTA/L

Occupational Therapy Assistant