DR. HAZEM MATTA (DO) – Diagnostic Radiology Physician, NPI 1184916736
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
506 INTERVENTIONAL RADIOLOGY in FL
Provider Addresses for DR. HAZEM MATTA (DO)
3660 BROADWAY
FORT MYERS, FL 339018005
Phone: (239) 936-2316
Type: Location
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 339124705
Phone: (239) 936-2316
Fax: (239) 936-3099
Type: Location
3680 BROADWAY
FORT MYERS, FL 339018005
Phone: (239) 936-2316
Fax: (239) 936-3099
Type: Location
500 University Dr
Department of Radiology, H066
Hershey, PA 170332360
Phone: (717) 531-6896
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $1,681.
Total Amount is formed as General ($1,681) + Research ($0) + Ownership ($0) = $1,681.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Penumbra, Inc. ($1,319).
Total Amount
$1,681
General + Research + Ownership
Payments
18
Total payment records
General Amount
$1,681
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $1,319 |
| Cook Medical LLC | $121 |
| W. L. Gore & Associates, Inc. | $109 |
| HeartFlow, Inc. | $78 |
| Inari Medical, Inc. | $53 |
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: 2017-08-23
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 |
|---|---|---|---|---|
| I20170823003458 | I | Interventional Radiology | FL | 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 |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 45,641 | 249 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 24,093 | 253 | $0 |
| 71045 | X-ray of chest, 1 view | 774 | 574 | $0 |
| 76775 | Limited ultrasound scan behind abdominal cavity | 358 | 356 | $0 |
| 70450 | Ct scan head or brain without contrast | 287 | 266 | $0 |
Insurance plans in this area (ZIP 33901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | GA | |
| Interventional Radiology | FL | |
| Diagnostic Radiology, Interventional Radiology | OH | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | WI | |
| - | FL | |
| Neurology, Nuclear Medicine, Diagnostic Radiology | FL | |
| Diagnostic Radiology | KY | |
| - | FL | |
| Diagnostic Radiology | TN |
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