DR. MARK MATUS MD
NPI 1780388165
Student in an Organized Health Care Education/Training Program in Chattanooga, TN

Active since March 29, 2023PECOS EnrolledAccepts Medicare Assignment
1100 E 3RD ST, CHATTANOOGA, TN 37403(423) 778-2957 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2026, Mar 29, 2023 (2 updates tracked since 2023).

About Dr. Mark Matus Md NPPES

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

DR. MARK MATUS MD (NPI 1780388165) is an individual student in an organized health care education/training program in Chattanooga, Tennessee and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1780388165
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MARK MATUSCredential: MD
Location Address1100 E 3RD STChattanooga, TN 37403-2241
Mailing Address1100 E 3rd StChattanooga, TN 37403-2241 · (423) 778-2957
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 29, 2023
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
NPI 1780388165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1100 E 3RD ST, Chattanooga, TN 37403

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

Dr. Mark Matus 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 ID8123560307
PECOS Enrollment IDI20251219002441
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.

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
1100 E 3RD ST
CHATTANOOGA, TN 37403
Student in an Organized Health Care Education/Training Program
1100 E 3RD ST
CHATTANOOGA, TN 37403
Family Medicine
1100 E 3RD ST
CHATTANOOGA, TN 37403
Student in an Organized Health Care Education/Training Program
1100 E 3RD ST
CHATTANOOGA, TN 37403
Student in an Organized Health Care Education/Training Program
1100 E 3RD ST
CHATTANOOGA, TN 37403
Family Medicine
1100 E 3RD ST
CHATTANOOGA, TN 37403
Registered Nurse
1100 E 3RD ST, SUITE G-100
CHATTANOOGA, TN 37403
Student in an Organized Health Care Education/Training Program
1100 E 3RD ST
CHATTANOOGA, TN 37403

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 Mark Matus's NPI number?

The NPI number for Mark Matus is 1780388165. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Mark Matus located?

Mark Matus practices at 1100 E 3rd St, Chattanooga, TN 37403. The listed phone number is (423) 778-2957.

What is Mark Matus's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mark Matus enrolled in Medicare?

Yes. Mark Matus 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.

When was this NPI record last updated?

The NPPES record for Mark Matus was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.