DR. TANNER LAYNE MATTISON M.D.
NPI 1881657245
Pathology - Anatomic Pathology & Clinical Pathology in Lewisville, TX

Active since April 07, 2006PECOS Enrolled
2609 SIR GAWAIN LN, LEWISVILLE, TX 75056(214) 392-5871 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Tanner Layne Mattison M.d. NPPES

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

DR. TANNER LAYNE MATTISON M.D. (NPI 1881657245) is an individual anatomic pathology & clinical pathology provider in Lewisville, Texas, licensed in Texas (L2451) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881657245
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. TANNER LAYNE MATTISONCredential: M.D.
Location Address2609 SIR GAWAIN LNLewisville, TX 75056-5719
Mailing Address2609 Sir Gawain LnLewisville, TX 75056-5719 · (214) 392-5871
Sole ProprietorNo
Enumeration DateApril 7, 2006
Last NPPES UpdateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1881657245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in TX · L2451
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
2609 SIR GAWAIN LN, Lewisville, TX 75056

Other Identifiers 7

MedicaidDR.0049728CO
MedicaidMD.202224LA
Medicaid2008-02044NC
Medicaid42717AZ
MedicaidL2451TX
MedicaidMD2008-0818NM
Medicaid49732-1NY

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tanner Layne Mattison 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 Tanner Mattison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anatomic Pathology & Clinical Pathology
1800 RENAISSANCE BLVD STE L100
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • Medicare enrollment name: Mattison Pathology, LLP
  • 6 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.

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.

Cell examination of urine, manual 88120
A cell examination of urine, manually done, is a lab test where your urine is studied under a microscope. This helps identify any abnormal cells or substances in your urine, like bacteria or crystals, that could indicate health issues. It's a simple, non-invasive procedure.
20 services20 patients
Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416
This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.
20 services20 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75056 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

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 Tanner Mattison's NPI number?

The NPI number for Tanner Mattison is 1881657245. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Tanner Mattison located?

Tanner Mattison practices at 2609 Sir Gawain Ln, Lewisville, TX 75056. The listed phone number is (214) 392-5871.

What is Tanner Mattison's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Tanner Mattison enrolled in Medicare?

Yes. Tanner Mattison is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tanner Mattison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanner Mattison reassigns Medicare benefits to Mattison Pathology, L.L.P. (Edmond, OK). 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 Tanner Mattison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanner Mattison accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Moda Health Plan, Inc. list Tanner Mattison 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 Tanner Mattison was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.