Individual provider Active NPI

Thomas K Mattingly III, M.D.

  • Neurological Surgery Physician
  • Rochester, NY
National Provider Identifier
1528038528
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
291504 Issued in NY
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

Updated by the provider on Jun 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180112001845 NY Practitioner - Neurosurgery 6002897733 Reassigns benefits to 2 organizations

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
University of Rochester Neurosurgery GroupGroup PAC ID 5294733747, 50 clinicians

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 Hospital, Rochester, NY, CCN 330285
  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074
  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307
  • Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090

Merit-based Incentive Payment System (MIPS)

Final score
90.63 of 100Reported as group
Quality
69.94
Promoting interoperability
100
Improvement activities
40
Cost
86.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion13
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

LicenseStateTypeSpecialty
291504NYMDNeurological Surgery Physician
0101236200VAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Feb 23, 2025 Accepting new patients
University of Rochester Neurosurgery Group Neurological Surgery CurrentSince Feb 1, 2018 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 23, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.