1. Home
  2. Directory
  3. Texas
  4. Amarillo
  5. Pediatrics
  6. NPI Profile

RAPHAEL JOSY MATTAMAL M.D.
NPI 1679993034
Pediatrics in Amarillo, TX

Active since April 23, 2014PECOS Enrolled
100/100
CMS Quality Rating
1400 S COULTER ST, AMARILLO, TX 79106(806) 414-9800(806) 354-5689 Get Directions Write a Review

NPPES record last updated: February 23, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 23, 2018, Jul 28, 2017 (2 updates tracked since 2017).

About Raphael Josy Mattamal M.d. NPPES

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

RAPHAEL JOSY MATTAMAL M.D. (NPI 1679993034) is an individual pediatrics provider in Amarillo, Texas, licensed in Texas (R4092) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679993034
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRAPHAEL JOSY MATTAMALCredential: M.D.
Location Address1400 S COULTER STAmarillo, TX 79106-1786
Mailing Address1400 Wallace BlvdAmarillo, TX 79106-1708 · (806) 414-9800 · Fax (806) 354-5689
Phone(806) 414-9800
Fax(806) 354-5689
Sole ProprietorNo
Enumeration DateApril 23, 2014
Last NPPES UpdateFebruary 23, 20182 updates tracked since enumeration
✔ NPI 1679993034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TX · R4092✔ Licensed in TX · 45997
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 582589 (TX)
1400 S COULTER ST, Amarillo, TX 79106
Open in Google Maps ↗

Other Identifiers 4

Medicaid200725100AOK
Medicaid374825301TX
Medicaid73172511NM
Medicaid374825302TX

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raphael Josy Mattamal M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Raphael Mattamal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Tech University Health Sciences Center Amarillo
0.1 mi
Family Medicine
1400 S COULTER ST
Amarillo, TX 79106
  • Reassigned Medicare billing, Texas enrollment
  • 109 clinicians in this Medicare group
NPI 1013942150 (806) 414-9559

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79106 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

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.

MRS. TIFFANY SHEA THOMPSON RNC, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 414-9180
KHALID ALYAMI
Student in an Organized Health Care Education/Training Program
1400 S COULTER ST, SUITE 5100
AMARILLO, TX 79106
Potter County (806) 414-9559
BRENDA CHESLEY
Nurse Practitioner (Pediatrics)
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 414-9800
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER AMARILLO
Family Medicine
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 414-9559
DAVID EGERTON PHD
Psychologist (Family)
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 351-3777
TERESA BAKER MD
Obstetrics & Gynecology
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 414-9650
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER AMARILLO
Surgery
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 414-9558
JOHN SCOTT MILTON MD
Internal Medicine (Infectious Disease)
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 354-5480

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 Raphael Mattamal's NPI number?

The NPI number for Raphael Mattamal is 1679993034. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Where is Raphael Mattamal located?

Raphael Mattamal practices at 1400 S Coulter St, Amarillo, TX 79106. The listed phone number is (806) 414-9800.

What is Raphael Mattamal's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Raphael Mattamal enrolled in Medicare?

Yes. Raphael Mattamal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raphael Mattamal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raphael Mattamal reassigns Medicare benefits to Texas Tech University Health Sciences Center Amarillo (Amarillo, TX). The 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 Raphael Mattamal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raphael Mattamal accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Raphael Mattamal 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.

When was this NPI record last updated?

The NPPES record for Raphael Mattamal was last updated on February 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.