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Active NPI 1699774174 Individual Practitioner Female Practitioner

Katherine Ann Mattingly , PA-C

Physician Assistant • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Katherine Mattingly, PA-C is a registered healthcare professional specializing in Physician Assistant in Dayton, OH. Practice services are available at 122 WYOMING ST under active NPI credentials.

Frequently performed procedures and clinical services include blood test, clotting time, established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

122 Wyoming St

Dayton, OH 454092731

Telephone 9372234461
Fax 9372241945
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
250 Specialists

Practicing in Dayton, OH (5376 Statewide)

Telehealth Adoption Rate
5.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
85610 Blood test, clotting time
285 76 $24.00 $4.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
48 48 $156.00 $89.96
93000 Routine ekg using at least 12 leads including interpretation and report
30 30 $79.00 $13.95

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50002181

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0067797 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
David Evers , ANP-BC

Nurse Practitioner - Adult Health

NPI 1003182585

ANPBC

Jamie Seiley

Nurse Practitioner - Acute Care

NPI 1013460641
Lisa Pleiman , RN

Internal Medicine - Cardiovascular Disease

NPI 1023259421

Registered Nurse

Mary Bozarth , RN

Registered Nurse

NPI 1063899946

Registered Nurse

Dr. Steven Young , MD

Internal Medicine - Cardiovascular Disease

NPI 1063917805

Doctor of Medicine (M.D.)

Melissa Cotter , RN

Registered Nurse

NPI 1093162703

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2014

Registered at 122 WYOMING ST, DAYTON, OH 454092731 (Tel: 9372234461)

📍
Updated Business Mailing Address January 28, 2014

Registered at 122 WYOMING ST, DAYTON, OH 454092731 (Tel: 9372234461)

👤
Provider Name / Credentials Updated January 28, 2014

Recorded as KATHERINE MATTINGLY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2014

Physician Assistant (License #50002181 in OH)

🟢
Initial NPI Registration & Enumeration July 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699774174
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2005
Last Update: January 28, 2014
Sole Proprietor: No

Mailing Address

122 Wyoming St

Dayton, OH 454092731

Phone: 9372234461

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.