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DR. JAMES MICHAEL MATERN MD
NPI 1801032636
Emergency Medicine in New Britain, CT

Active since December 29, 2008PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
100 GRAND ST, NEW BRITAIN, CT 06052(860) 224-5305 Get Directions Write a Review

NPPES record last updated: September 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Michael Matern Md NPPES

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

DR. JAMES MICHAEL MATERN MD (NPI 1801032636) is an individual emergency medicine provider in New Britain, Connecticut, licensed in Connecticut (047597) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2005).

NPPES Registry Identity

NPI1801032636
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAMES MICHAEL MATERNCredential: MD
Location Address100 GRAND STNew Britain, CT 06052-2016
Mailing Address100 Grand StNew Britain, CT 06052-2016 · (860) 224-5305
Phone(860) 224-5305
Sole ProprietorYes
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2005
Enumeration DateDecember 29, 2008
Last NPPES UpdateSeptember 29, 2009
✔ NPI 1801032636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CT · 047597
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
100 GRAND ST, New Britain, CT 06052
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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. James Michael Matern 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 ID1557412145
PECOS Enrollment IDI20090622000233
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
161 services159 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
54 services54 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
40 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06052 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.37
Promoting Interoperability100
Improvement Activities40
Cost56.52

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.

MISS NIRMALA BHATT MD
Internal Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
MUHAMMAD YASIR ANWAR MBBS
Hospitalist
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
DR. ALEXANDER VDOVENKO M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5584
MS. KORTNEY ROSE RIBBECK PA-C
Physician Assistant (Medical)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
SHEILA SANTHAPPA M.D.
Psychiatry & Neurology (Neurology)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (608) 224-5305
MS. ELLEN ROSENBERG LMSW
Social Worker (Clinical)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5285
SARA TAYLOR STRANIERI PA-C
Physician Assistant (Surgical)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
DR. LOUIS GRAFF IV M.D.
Emergency Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5774

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 James Matern's NPI number?

The NPI number for James Matern is 1801032636. It was assigned to this individual provider in the NPPES registry on December 29, 2008.

Where is James Matern located?

James Matern practices at 100 Grand St, New Britain, CT 06052. The listed phone number is (860) 224-5305.

What is James Matern's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Matern enrolled in Medicare?

Yes. James Matern 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 James Matern was last updated on September 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.