JAMESON KYLE MATTINGLY (M.D.) – Otology & Neurotology Physician, NPI 1255697975

JAMESON KYLE MATTINGLY (M.D.) is a healthcare provider. based in Louisville, Kentucky. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 62735 (TN). The NPI Number for JAMESON KYLE MATTINGLY (M.D.) is 1255697975

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JAMESON KYLE MATTINGLY (M.D.)
NPI
1255697975
Phone
(270) 316-0605
Address
7500 AUTUMN POINTE DR
Enumeration Date
6 April 2012
Last Update Date
9 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8656936065
Graduation Year
2012 (14 years ago)
PAC ID
3577704568
Group Practice PAC ID
5092763532
Professional Enrollment ID
I20210205001683
Address ID
TN379234203KN9430XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:14State licenses:1Digital endpointsOther names

227 OTOLARYNGOLOGY in CO

Provider Addresses for JAMESON KYLE MATTINGLY (M.D.)

  • 7500 AUTUMN POINTE DR

    #102

    LOUISVILLE, KY 402145773

    Phone: (270) 316-0605

    Type: Mailing

  • 13001 E 17TH PL

    AURORA, CO 800452570

    Phone: (303) 724-6031

    Type: Location

  • 9430 PARK WEST BLVD STE 330

    KNOXVILLE, TN 379234203

    Phone: (865) 693-6065

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $2,321.

Total Amount is formed as General ($2,321) + Research ($0) + Ownership ($0) = $2,321.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: MED-EL Corporation ($1,264).

Total Amount

$2,321

General + Research + Ownership

Payments

47

Total payment records

General Amount

$2,321

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-02-05

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
I20210205001683IOtolaryngologyTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes405297$0
99213Established patient office or other outpatient visit, 20-29 minutes139114$0
99204New patient office or other outpatient visit, 45-59 minutes138138$0
92557Comprehensive hearing and speech recognition test121117$0
92567Test to assess middle ear function111107$0
View full utilization report →

Insurance plans in this area (ZIP 40214)

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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: 5092763532View full group profile

Reviews

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Frequently asked questions

What is the registry number for JAMESON KYLE MATTINGLY (M.D.)?
The registry entry for JAMESON KYLE MATTINGLY (M.D.) shows NPI 1255697975.
Does the public listing show JAMESON KYLE MATTINGLY (M.D.) as active?
JAMESON KYLE MATTINGLY (M.D.)'s NPI record reflects an active status in NPPES.
What services align with JAMESON KYLE MATTINGLY (M.D.)'s listing?
JAMESON KYLE MATTINGLY (M.D.)'s public classification highlights Otology & Neurotology Physician. Clinical services aligned with this taxonomy classification.
Is JAMESON KYLE MATTINGLY (M.D.) tied to Louisville, Kentucky?
If you are local to Louisville, Kentucky, JAMESON KYLE MATTINGLY (M.D.) may be relevant to your search.
Can I export JAMESON KYLE MATTINGLY (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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