JOHN A MATTINGLY MD
NPI 1952355786
Radiology - Diagnostic Radiology in Swansea, IL

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
12 WOLF CREEK DR, SWANSEA, IL 62226(618) 277-7912(618) 277-7915 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John A Mattingly Md NPPES

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

JOHN A MATTINGLY MD (NPI 1952355786) is an individual diagnostic radiology provider in Swansea, Illinois, licensed in Illinois (036096843) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Saint Louis University School Of Medicine (1993).

NPPES Registry Identity

NPI1952355786
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJOHN A MATTINGLYCredential: MD
Location Address12 WOLF CREEK DRSwansea, IL 62226-2314
Mailing Address124 E Fairway DrBelleville, IL 62223-2202 · (618) 304-8392 · Fax (443) 451-8601
Fax(618) 277-7915
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 1993
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 14, 2025
NPPES CertifiedAugust 14, 2025
NPI 1952355786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in IL · 036096843 Licensed in KY · 42628 Licensed in MO · 103379 Licensed in IN · 01066438A Licensed in MD · D0068341
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 036096843 (IL), 103379 (MO), 42628 (KY), 01066438A (IN), D0068341 (MD)
12 WOLF CREEK DR, Swansea, IL 62226

Other Identifiers 4

OtherP01026934Rr Medicare
Medicaid0360916843IL
Medicaid366096843IL
Other376069Healthlink

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

John A Mattingly 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 ID7315987468
PECOS Enrollment IDI20050509000257, I20140710000202
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 63

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
524 services465 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
343 services331 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
150 services147 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
122 services120 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
105 services103 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
101 services96 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital Jefferson City

Acute Care Hospitals · Jefferson City, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260011
Location2505 Mission DriveJefferson City, MO 65109 · Cole County
Emergency services Birthing friendly

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
12 WOLF CREEK DR
SWANSEA, IL 62226
Specialist
12 WOLF CREEK DR, SUITE 200
SWANSEA, IL 62226
Physical Therapist
12 WOLF CREEK DR
SWANSEA, IL 62226
Nurse Practitioner (Family)
12 WOLF CREEK DR, SUITE 200
SWANSEA, IL 62226
Physical Therapist
12 WOLF CREEK DR, STE 200
SWANSEA, IL 62226

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 John Mattingly's NPI number?

The NPI number for John Mattingly is 1952355786. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is John Mattingly located?

John Mattingly practices at 12 Wolf Creek Dr, Swansea, IL 62226. The listed phone number is (618) 277-7912.

What is John Mattingly's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is John Mattingly enrolled in Medicare?

Yes. John Mattingly 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.

Is John Mattingly affiliated with any hospitals?

According to CMS data, John Mattingly is affiliated with Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center, Ssm Health St Mary's Hospital Jefferson City, Ssm St Clare Health Center and Ssm Health Depaul Hospital St Louis.

When was this NPI record last updated?

The NPPES record for John Mattingly was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.