DR. AMY MATTERN (D.O.) – Psychiatry Physician, NPI 1275927139
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
401 PSYCHIATRY in KY
Provider Addresses for DR. AMY MATTERN (D.O.)
101 N 7th St
Louisville, KY 402022924
Phone: (917) 634-5311
Type: Location
109 W 27th St Rm 5S
New York, NY 100016208
Phone: (917) 634-5311
Type: Location
1670 UPHAM DR
COLUMBUS, OH 432101250
Phone: (614) 293-4540
Type: Mailing
109 W 27TH ST RM 5S
NEW YORK, NY 100016208
Phone: (833) 351-8255
Fax: (888) 815-3583
Type: Mailing
1 W WINTER ST STE 200
DELAWARE, OH 430154635
Phone: (513) 828-0285
Fax: (888) 815-3583
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 $250.
Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.
Last reported payment date: 2024-06-05 • Largest payer in this snapshot: ABBVIE INC. ($250).
Total Amount
$250
General + Research + Ownership
Payments
2
Total payment records
General Amount
$250
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $250 |
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: 2023-09-08
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20190529001841 | I | Psychiatry | OH | TBD |
| I20221022000093 | I | Psychiatry | NY | TBD |
| I20230908001929 | I | Psychiatry | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | SC | |
| Psychiatry, Geriatric Psychiatry | IL | |
| P S Y C H I A T R Y | CO | |
| P S Y C H I A T R Y | IL | |
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | SC | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | GA | |
| P S Y C H I A T R Y | MA | |
| P S Y C H I A T R Y | NY |
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