DOUGLAS MATTOX (M.D.) – Otology & Neurotology Physician, NPI 1215048442

DOUGLAS MATTOX (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 45291 (GA). The NPI Number for DOUGLAS MATTOX (M.D.) is 1215048442

Main info

Male
Sole Proprietor
53 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS MATTOX (M.D.)
NPI
1215048442
Phone
(404) 778-3381
Address
550 PEACHTREE ST NE DEPT OF
Enumeration Date
31 August 2006
Last Update Date
28 July 2021

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1973 (53 years ago)
PAC ID
5597958710
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20101020001094
Address ID
GA303452711AT2201XNEXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

392 OTOLARYNGOLOGY in GA

Provider Addresses for DOUGLAS MATTOX (M.D.)

  • 550 PEACHTREE ST NE DEPT OF

    ATLANTA, GA 303082247

    Phone: (404) 778-3381

    Fax: (404) 778-4295

    Type: Location

  • Clifton Road Northeast, Candler Park, Druid Hills, DeKalb County, Georgia, 30329, United States

    DEPARTMENT OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY

    ATLANTA, GA 303221013

    Phone: (404) 778-3381

    Fax: (404) 778-4295

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-10-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101020001094IOtolaryngologyGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes119104$0
99203New patient office or other outpatient visit, 30-44 minutes108108$0
99212Established patient office or other outpatient visit, 10-19 minutes4639$0
92504Exam of ear using a microscope1715$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 30308)

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Provider's Procedures

DOUGLAS MATTOX (M.D.) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYGA92567Eardrum testing using ear probe9291

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

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Frequently asked questions

What unique ID ties claims to DOUGLAS MATTOX (M.D.)?
NPI 1215048442 is assigned to DOUGLAS MATTOX (M.D.) under the national enumeration system.
Is DOUGLAS MATTOX (M.D.) currently active in the NPI registry?
CMS-published data lists DOUGLAS MATTOX (M.D.) as an active registrant.
What kind of provider is DOUGLAS MATTOX (M.D.)?
The page reflects Otology & Neurotology Physician for DOUGLAS MATTOX (M.D.). Clinical services aligned with this taxonomy classification.
Where is DOUGLAS MATTOX (M.D.)'s primary listing?
We display Atlanta, Georgia because that is what the record indicates for DOUGLAS MATTOX (M.D.).
What if Atlanta, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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