JACOB NATHANIEL MATTOX MD
NPI 1922636893
Emergency Medicine in Oak Lawn, IL

Q: What is Jacob Mattox's NPI number?

The NPI number for Jacob Mattox is 1922636893. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Q: What is Jacob Mattox's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Mattox was last updated on June 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment

4440 W 95TH ST, OAK LAWN, IL 60453(708) 684-8000 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2020, Mar 27, 2020 (2 updates tracked since 2020).

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About Jacob Nathaniel Mattox Md NPPES

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

JACOB NATHANIEL MATTOX MD (NPI 1922636893) is an individual emergency medicine provider in Oak Lawn, Illinois, licensed in Illinois (125.075832) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and is a graduate of University Of Southern California Keck School Of Medicine (2020).

NPPES Registry Identity

NPI1922636893

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJACOB NATHANIEL MATTOXCredential: MD

Location Address4440 W 95TH STOak Lawn, IL 60453-2600

Mailing Address4440 W 95th StOak Lawn, IL 60453-2600 · (708) 684-8000

Phone(708) 684-8000

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2020

Enumeration DateMarch 27, 2020

Last NPPES UpdateJune 17, 20202 updates tracked since enumeration

NPPES CertifiedJune 17, 2020

✔ NPI 1922636893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 125.075832

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125.075832 (IL)

4440 W 95TH ST, Oak Lawn, IL 60453

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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

Jacob Nathaniel Mattox 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 ID5991175994

PECOS Enrollment IDI20230109002757

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 4

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.

153 services150 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.

62 services62 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.

35 services34 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

23 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150015

Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County

Emergency services Birthing friendly

Red Lake Hospital

Acute Care Hospitals · Redlake, MN

OwnershipGovernment - Federal

CMS Certification Number240206

Location24760 Hospital DriveRedlake, MN 56671 · Beltrami County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

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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.

DR. MARK ADRIAN FAASSE MD

Urology