DR. ISMAEL A. MATUS (MD) – Pulmonary Disease Physician, NPI 1538118070
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
80 CRITICAL CARE (INTENSIVISTS) in DE
Provider Addresses for DR. ISMAEL A. MATUS (MD)
4745 OGLETOWN-STANTON ROAD
SUITE 220
NEWARK, DE 197132074
Phone: (302) 623-7600
Fax: (302) 366-1240
Type: Location
200 HYGEIA DRIVE
CCHS PHYSICIAN CONTRACTING, SUITE 2300
NEWARK, DE 197132049
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $15,170.
Total Amount is formed as General ($15,170) + Research ($0) + Ownership ($0) = $15,170.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Ethicon Inc. ($12,921).
Total Amount
$15,170
General + Research + Ownership
Payments
31
Total payment records
General Amount
$15,170
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon Inc. | $12,921 |
| Noah Medical Corporation | $1,332 |
| Medical Device Business Services, Inc. | $647 |
| Pinnacle Biologics, Inc | $105 |
| Galvanize Therapeutics, Inc | $62 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-06-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160614001669 | I | Critical Care (Intensivists) | DE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 136 | 131 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 126 | 96 | $0 |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 125 | 123 | $0 |
| 31628 | Biopsy of lobe of lung using an endoscope, 1 lobe | 107 | 107 | $0 |
| 76000 | Imaging guidance for procedure, 60 minutes or less | 68 | 68 | $0 |
Insurance plans in this area (ZIP 19713)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | DE | |
| - | DE | |
| - | DE | |
| - | PA | |
| Internal Medicine | DE | |
| Physician Assistant | DE | |
| Nurse Practitioner | PA | |
| General Surgery | IL | |
| Diagnostic Radiology | NY | |
| Internal Medicine | NY |
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