Active NPI
Thomas K Mattingly III, M.D.
- Neurological Surgery Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 291504
- Practice address
- 601 Elmwood Ave
Rochester, NY 14642-2175 - Phone
- (585) 273-1900
- Fax
- (585) 276-2663
- NPI assigned
- Jan 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 0101236200 | VA | |
| Neurological Surgery Physician | 207T00000X | 291504 | NY | Primary |
Addresses
Primary practice location
601 Elmwood Ave
Rochester, NY 14642-2175
Mailing address
601 Elmwood Ave Box 670
Rochester, NY 14642-0001
Phone (585) 273-1900
Other practice location 1
2569 Covey Run
Manakin Sabot, VA 23103-2175
Phone (519) 318-3855
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tmattingly122714@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | tmattingly122714@direct.urmc.rochester.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Neurosurgery
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 S Ave
Rochester, NY 14620-2733
Phone (585) 341-7500
1445 Portland Ave
Suite 305
Rochester, NY 14621-3044
Phone (585) 342-7783
2180 Clinton S Ave
Rochester, NY 14618-2665
Phone (585) 225-5767
395 W St
Suite 7
Canandaigua, NY 14424-1723
Phone (585) 225-5767
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 225-5767
601 Elmwood Ave Box
Rochester, NY 14642-0001
Hospital & facility affiliations
- Strong Memorial Hospital
- F F Thompson Hospital
- Cayuga Medical Center at Ithaca
- Arnot Ogden Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.63 of 100
- Quality
- 69.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 13 |
| Laminectomy or laminotomy (partial removal of spine bones) | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291504 | NY | MD | Neurological Surgery Physician |
| 0101236200 | VA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| University of Rochester Neurosurgery Group | Neurological Surgery | Current | Accepting new patients |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| University of Rochester | Past | Accepting new patients |
Locations
395 West St
Ste 7
Canandaigua, NY 14424
Phone (585) 225-5767
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
1445 Portland Ave
Ste 305
Rochester, NY 14621
Phone (585) 275-8344
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
2180 S Clinton Ave
Rochester, NY 14618
Phone (585) 225-5767
601 Elmwood Ave
#670
Rochester, NY 14642
Phone (585) 225-5767
Interoperability endpoints
- tmattingly122714@direct.urmc.rochester.edu
Organizations & group practices 4
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.
-
- Neurological Surgery Physician
- Rochester, NY
- NPI 1780783746
-
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Specialty Pharmacy
- Oneonta, NY
- NPI 1174419196
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
-
- General Acute Care Hospital
- Canandaigua, NY
- NPI 1194776351
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1528038528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE BOX 670",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-273-1900",
"fax_number": "585-276-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146422175",
"telephone_number": "585-273-1900",
"fax_number": "585-276-2663"
}
],
"practiceLocations": [
{
"address_1": "2569 Covey Run",
"address_purpose": "LOCATION",
"city": "Manakin Sabot",
"state": "VA",
"postal_code": "231032175",
"country_code": "US",
"telephone_number": "519-318-3855",
"fax_number": "804-330-4529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTINGLY",
"first_name": "THOMAS",
"middle_name": "K",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "VA",
"license": "0101236200",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NY",
"license": "291504",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tmattingly122714@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tmattingly122714@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.