DR. MARK MATUS MD
NPI 1780388165
Student in an Organized Health Care Education/Training Program in Chattanooga, TN
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Mark Matus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jamaica, NY 11432
- Reassigned Medicare billing, New York enrollment
- 68 clinicians in this Medicare group
Fresh Meadows, NY 11365
- Reassigned Medicare billing, New York enrollment
- 193 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
CHATTANOOGA, TN 37403
CHATTANOOGA, TN 37403
CHATTANOOGA, TN 37403
CHATTANOOGA, TN 37403
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.
Which organizations bill Medicare for Mark Matus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Matus reassigns Medicare benefits to 2 organizations: Fresh Meadows Physician Practice PLLC (Jamaica, NY) and Peyman Younesi MD PLLC (Fresh Meadows, NY). Each 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 Mark Matus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 7 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.
# Dr. Mark Matus, MD · NPI 1780388165
Student in an Organized Health Care Education/Training Program provider in Chattanooga, Tennessee. Individual provider, active in the CMS NPPES registry since March 29, 2023.
## Identity
- **NPI:** 1780388165 (Entity type: Individual)
- **Enumerated:** March 29, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 E 3RD ST, Chattanooga, TN 37403-2241
- **Phone:** (423) 778-2957
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fresh Meadows Physician Practice PLLC (NPI 1720775083, Jamaica, NY); Peyman Younesi MD PLLC (NPI 1891053328, Fresh Meadows, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780388165) · Data from the CMS NPPES public registry.