DR. TYLER MATTINGLY (DO) – Anesthesiology Physician, NPI 1710482336
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
671 PAIN MANAGEMENT in FL
Provider Addresses for DR. TYLER MATTINGLY (DO)
705 WELLS RD STE 300
ORANGE PARK, FL 320732982
Phone: (904) 282-6331
Type: Mailing
UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States
WORCESTER, MA 016550002
Phone:
Type: Mailing
1865 Lime St Ste 101
Fernandina Beach, FL 320344779
Phone: (904) 321-2422
Type: Location
309 Arnow Dr
Saint Marys, GA 315583176
Phone: (912) 439-3500
Type: Location
463386 STATE ROAD 200 UNIT A
YULEE, FL 320973240
Phone: (904) 406-3888
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $650.
Total Amount is formed as General ($650) + Research ($0) + Ownership ($0) = $650.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Boston Scientific Corporation ($291).
Total Amount
$650
General + Research + Ownership
Payments
24
Total payment records
General Amount
$650
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-12-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230605001371 | I | Pain Management | FL | TBD |
| I20231206000192 | I | Pain Management | GA | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 710 | 58 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 323 | 240 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 226 | 171 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 123 | 116 | $0 |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 79 | 77 | $0 |
Insurance plans in this area (ZIP 32073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| Family Practice | FL | |
| A N E S T H E S I O L O G Y | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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