Active NPI
David E Matteson, MD
- Surgery Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0035235
- Practice address
- 2001 Medical Pkwy
Annapolis, MD 21401-3280 - Phone
- (443) 481-1000
- Fax
- (443) 481-1360
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D0035235 | MD | Primary |
Addresses
Primary practice location
2001 Medical Pkwy
Annapolis, MD 21401-3280
Mailing address
920 Elkridge Landing Rd
Linthicum, MD 21090-2917
Phone (443) 462-5010
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145724700 | Other | MD | FEDERAL WORKMAN'S COMP |
| 887BAA 41761203 | Other | MD | CAREFIRST BCBS |
| K5850002 | Other | DC | CAREFIRST BCBS |
| 1191974 | Other | MD | AETNA HMO |
| 936200201275971300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- State University of New York at Buffalo School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2540 Centreville Rd
Centreville, MD 21617-2681
Phone (410) 822-1000
5 Garrett Ave
La Plata, MD 20646-5960
Phone (301) 609-4000
Hospital & facility affiliations
- University of MD Charles Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.26 of 100
- Quality
- 81.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.29
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 81 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0035235 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Anne Arundel Medical Center Inc | Past | Accepting new patients |
Locations
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
219 S Washington St
Easton, MD 21601
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
920 Elkridge Landing Rd
Linthicum Heights, MD 21090
Interoperability endpoints
- dmatteson481985@direct.umm.edu
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1679541460
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- La Plata, MD
- NPI 1992701825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500508800000",
"number": "1053308908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 ELKRIDGE LANDING RD",
"city": "LINTHICUM",
"state": "MD",
"postal_code": "210902917",
"telephone_number": "443-462-5010",
"fax_number": "410-684-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MEDICAL PKWY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013280",
"telephone_number": "443-481-1000",
"fax_number": "443-481-1360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTESON",
"first_name": "DAVID",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2017-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0035235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL WORKMAN'S COMP",
"identifier": "145724700",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "887BAA 41761203",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "K5850002",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1191974",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "936200201275971300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.