FIDEL MATA (P.A.) – Medical Physician Assistant, NPI 1558445924
Medical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for FIDEL MATA (P.A.)
1800 E Lake Shore Dr
Decatur, IL 625213810
Phone: (217) 422-6100
Fax: (217) 422-3217
Type: Location
1770 E LAKE SHORE DR STE 105
DECATUR, IL 625213800
Phone: (217) 422-6100
Fax: (833) 784-5326
Type: Location
Saint Mary's Hospital, 1800, East Lake Shore Drive, Decatur, Macon County, Illinois, 62521, United States
DECATUR, IL 625213810
Phone: (217) 422-6100
Fax: (217) 422-3217
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $258.
Total Amount is formed as General ($258) + Research ($0) + Ownership ($0) = $258.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($104).
Total Amount
$258
General + Research + Ownership
Payments
14
Total payment records
General Amount
$258
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $104 |
| PFIZER INC. | $100 |
| Merck Sharp & Dohme LLC | $24 |
| Amgen Inc. | $17 |
| Lexicon Pharmaceuticals, Inc. | $13 |
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: 2004-08-03
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 |
|---|---|---|---|---|
| I20040803001529 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 166 | 153 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 71 | 62 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 25 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 62521)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MO | |
| Cardiovascular Disease (Cardiology), Internal Medicine | PA | |
| - | IL | |
| Interventional Cardiology | MI | |
| Interventional Cardiology | MO | |
| Vascular Surgery | IL | |
| Nurse Practitioner | IL | |
| Cardiovascular Disease (Cardiology) | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.