KATHERINE ANN MATTINGLY PA-C
NPI 1699774174
Physician Assistant in Dayton, OH

Q: What is Katherine Mattingly's NPI number?

The NPI number for Katherine Mattingly is 1699774174. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Q: What is Katherine Mattingly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since July 18, 2005PECOS Enrolled

122 WYOMING ST, DAYTON, OH 45409(937) 223-4461(937) 224-1945 Get Directions Write a Review

NPPES record last updated: January 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Katherine Ann Mattingly Pa-c NPPES

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

KATHERINE ANN MATTINGLY PA-C (NPI 1699774174) is an individual physician assistant in Dayton, Ohio, licensed in Ohio (50002181) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699774174

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATHERINE ANN MATTINGLYCredential: PA-C

Location Address122 WYOMING STDayton, OH 45409-2731

Mailing Address122 Wyoming StDayton, OH 45409-2731 · (937) 223-4461 · Fax (937) 224-1945

Phone(937) 223-4461

Fax(937) 224-1945

Sole ProprietorNo

Enumeration DateJuly 18, 2005

Last NPPES UpdateJanuary 28, 2014

✔ NPI 1699774174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50002181

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

122 WYOMING ST, Dayton, OH 45409

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Other Identifiers 3

Medicare PINMAPA23725OH

Medicaid0067797OH

Medicare UPINQ27318

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Ann Mattingly Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

44%100 patients2/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

76%168 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

41%180 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

49%57 patients3/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DAVID LEE EVERS ANP-BC

Nurse Practitioner (Adult Health)