JOHN A MATTINGLY (MD) – Diagnostic Radiology Physician, NPI 1952355786
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,121 DIAGNOSTIC RADIOLOGY in IL
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Provider Addresses for JOHN A MATTINGLY (MD)
Fairway Drive, Belleville, Saint Clair County, Illinois, 62221, United States
BELLEVILLE, IL 622232202
Phone: (618) 304-8392
Fax: (443) 451-8601
Type: Mailing
12, Wolf Creek Drive, Swansea, Saint Clair County, Illinois, 62226, United States
SWANSEA, IL 622262314
Phone: (618) 277-7912
Fax: (618) 277-7915
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2023-03-23 • Largest payer in this snapshot: BeiGene USA, Inc. ($27).
Total Amount
$44
General + Research + Ownership
Payments
2
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BeiGene USA, Inc. | $27 |
| Avanos Medical | $16 |
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: 2014-07-10
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 |
|---|---|---|---|---|
| I20050509000257 | I | Diagnostic Radiology | IL | TBD |
| I20140710000202 | I | Diagnostic Radiology | MO | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 562 | 508 | $0 |
| 70450 | Ct scan head or brain without contrast | 384 | 356 | $0 |
| 71046 | X-ray of chest, 2 views | 149 | 147 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 126 | 126 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 120 | 107 | $0 |
Insurance plans in this area (ZIP 62223)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IL | 71010 | X-ray of chest, 1 view, front | 1534 | 1316 |
| DIAGNOSTIC RADIOLOGY | IL | 71250 | CT scan chest | 75 | 75 |
| DIAGNOSTIC RADIOLOGY | IL | 73110 | X-ray of wrist, minimum of 3 views | 49 | 44 |
| DIAGNOSTIC RADIOLOGY | IL | 73630 | X-ray of foot, minimum of 3 views | 104 | 91 |
| DIAGNOSTIC RADIOLOGY | IL | 74177 | CT scan of abdomen and pelvis with contrast | 306 | 293 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| General Surgery, Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO |
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