Brian Louis Mattingly, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

45959 Issued in KY

Practice address

530 S Jackson St # C07
Louisville, KY 40202-1675

Phone

(502) 852-5875

NPI assigned

May 19, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN, KY2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

University of Louisville School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northgate Medical Imaging LLCGroup PAC ID 5193744209, 43 clinicians

Radiology Associates IncGroup PAC ID 9436045259, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
• Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
• Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
• Harrison County Hospital Hospital, Corydon, IN, CCN 151331
• UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040

Merit-based Incentive Payment System (MIPS)

Final score

78.96 of 100Reported as group

Quality

56.12

Promoting interoperability

100

Improvement activities

40

Cost

73.73

Merit-based Incentive Payment System (MIPS)

Final score

96.22 of 100Reported as group

Quality

95.56

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

86.26 of 100Reported as group

Quality

100

Improvement activities

40

Cost

54.2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northgate Medical Imaging LLC

  • Diagnostic Radiology Physician
  • New Albany, IN
  • NPI 1205894235

  KY

  Medicare reassignment Care Compare group NPD
• Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Jeffersonville, IN
  • NPI 1851373435

  KY

  Medicare reassignment Care Compare group NPD
• Central Kentucky Radiology PLLC

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1952350761
  Medicare reassignment NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Louisville, KY
  • NPI 1164751756
  Medicare reassignment NPD
• University of Louisville Physicians, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1366722316
  Medicare reassignment NPD
• Indiana University Radiology Associates, Inc.

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1336192665
  Medicare reassignment NPD
• University of Louisville Physicians, Inc.

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1316294127
  NPD
• KND Development 59, LLC

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823
  NPD

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

• Baptist Healthcare System Inc

  • General Acute Care Hospital
  • Elizabethtown, KY
  • NPI 1689282147
  Care Compare affiliation
• Baptist Healthcare System, Inc.

  • General Acute Care Hospital
  • La Grange, KY
  • NPI 1306925540
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1013784859
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1033752704
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1093341497
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1104469873
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1114591039
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1124654512
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1124661897
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1144856543
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1376310110
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1477189876
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1669639605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S JACKSON ST # C07",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021675",
            "telephone_number": "502-852-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "BRIAN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "11013730A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01070895A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "45959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01119551",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201061080",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100241190",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alix M Mattingly, APRN
• Allison Christian Mattingly, PT, DPT
• Andrea Mattingly, CSP.RN
• April Renee Mattingly, M.D.
• Bradley Ryan Mattingly
• Bridgett Mattingly
• Cameron Mattingly
• Chris Lee Mattingly, DMD
• Courtney H Mattingly, MSOTR/L
• Darren Mattingly

• Diagnostic Radiology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Diagnostic Radiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.

Verify at the official NPI Registry.