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Deactivated NPI 1578561445 Deactivated / Inactive NPI Male Practitioner

Dr. Timothy J Mattison , MD

Internal Medicine • Maumee, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Timothy Mattison has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 13, 2005
NPI Deactivation Date March 17, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Mattison, MD was a registered Internal Medicine practicing in Maumee, OH. Throughout an active medical career spanning 1 years, Dr. Mattison provided care at the practice location at 5757 MONCLOVA RD until profile deactivation on 2006-03-17.

Historical Medicare Part B clinical services included established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, influenza vaccine split virus, preservative free. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

5757 Monclova Rd
Ste 15

Maumee, OH 435371863

Telephone 4198875833
Fax 4198875835
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Maumee, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.2 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Maumee, OH (5516 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.6% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
340 226 $234.00 $103.30
99213 Established patient office or other outpatient visit, typically 15 minutes
119 95 $158.00 $70.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
93 93 $252.00 $111.76
90662 Influenza vaccine split virus, preservative free
80 78 $96.00 $51.27
G0008 Administration of influenza virus vaccine
79 77 $35.00 $19.30
20610 Aspiration and/or injection of fluid from large joint
32 20 $132.00 $54.13
J1040 Injection, methylprednisolone acetate, 80 mg
30 20 $22.00 $12.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
27 15 $52.00 $19.41
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
23 22 $105.83 $51.51
G0009 Administration of pneumococcal vaccine
20 20 $27.00 $19.29
90670 Pneumococcal vaccine for injection into muscle
17 17 $407.00 $182.72
99496 Transitional care management services for problem of high complexity
13 11 $503.00 $223.00

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35070695

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2291407 (OH)
Commercial Insurance / Payer ID Anthem
000000344553 (OH)
Commercial Insurance / Payer ID Railraod Medicare
P00138896 (OH)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Nancy Keeton , CNP

Nurse Practitioner

NPI 1144575226

Certified Nurse Practitioner

Dr. Ankita Singh , MD

Family Medicine

NPI 1265870935

Doctor of Medicine (M.D.)

Christina Hammerling , PA-C

Physician Assistant

NPI 1902180987

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location January 07, 2013

Registered at 5757 MONCLOVA RD, STE 15, MAUMEE, OH 435371863 (Tel: 4198875833)

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Updated Business Mailing Address January 07, 2013

Registered at 5757 MONCLOVA RD, STE 15, MAUMEE, OH 435371863 (Tel: 4198875833)

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Provider Name / Credentials Updated January 07, 2013

Recorded as TIMOTHY MATTISON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2013

Internal Medicine (License #35070695 in OH)

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NPI Profile Reactivated March 27, 2006

Record officially reactivated for active practice on March 27, 2006

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NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

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Initial NPI Registration & Enumeration July 13, 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: 1578561445
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2005
Last Update: January 07, 2013
Deactivation Date: March 17, 2006
Sole Proprietor: No

Mailing Address

5757 Monclova Rd, Ste 15

Maumee, OH 435371863

Phone: 4198875833

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.