NPIMap

Individual provider Active NPI

Mattson Mathey, M.D.

  • Family Medicine Physician
  • Thermopolis, WY
National Provider Identifier
1811374010
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11264A Issued in WY
Practice address
120 N C Ave
Thermopolis, WY 82443-2410
Phone
(307) 864-3121
Fax
(307) 864-9470
NPI assigned
Apr 27, 2015
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11264A WY Primary

Addresses

Primary practice location

120 N C Ave
Thermopolis, WY 82443-2410

Mailing address

120 N C Ave
Thermopolis, WY 82443-2410
Phone (307) 864-3121

Other practice location 1

1025 Pennock Pl
Fort Collins, CO 80524-3257
Phone (970) 495-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181107000521 WY Practitioner - Family Practice 1456663970 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William H and Carrie Gottsche FoundationGroup PAC ID 5092606293, 73 clinicians

Practice addresses (Care Compare)

148 E Arapahoe St
Thermopolis, WY 82443-2402
Phone (307) 864-2146

150 E Arapahoe St
Thermopolis, WY 82443-2402
Phone (307) 864-5061

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11264AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hot Springs County Hospital District CurrentSince Oct 1, 2018 Accepting new patients
Hot Springs County Hospital District CurrentSince Oct 1, 2018 Accepting new patients
Hot Springs County Hospital District Family Medicine Past Accepting new patients
Thermopolis SNF Operations, LLC Past Accepting new patients

Locations

2002 W Sunset Dr
Ste 2
Riverton, WY 82501
Phone (307) 857-7300

120 N C Ave
Thermopolis, WY 82443
Phone (307) 864-5534

150 E Arapahoe St
Thermopolis, WY 82443
Phone (307) 864-3121

1125 Charles Ave
Worland, WY 82401
Phone (307) 347-2449

Interoperability endpoints

  • Direct secure messaging: mmathey@hscmh.cernerdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1811374010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N C AVE",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824432410",
            "telephone_number": "307-864-3121",
            "fax_number": "307-864-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N C AVE",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824432410",
            "telephone_number": "307-864-3121",
            "fax_number": "307-864-9470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Pennock Pl",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805243257",
            "country_code": "US",
            "telephone_number": "970-495-8800",
            "fax_number": "970-495-8820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEY",
        "first_name": "MATTSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "11264A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thermopolis, WY

Sources for this page

Verify at the official NPI Registry.