DR. BENJAMIN B MATTINGLY (MD) – Emergency Medicine Physician, NPI 1235348194

DR. BENJAMIN B MATTINGLY (MD) is a healthcare provider. based in Springfield, Massachusetts. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 231588 (MA). The NPI Number for DR. BENJAMIN B MATTINGLY (MD) is 1235348194

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENJAMIN B MATTINGLY (MD)
NPI
1235348194
Phone
(413) 794-5700
Address
280 CHESTNUT STREET 2ND FLOOR
Enumeration Date
21 May 2007
Last Update Date
29 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6068495000
Graduation Year
2004 (22 years ago)
PAC ID
9234239930
Group Practice PAC ID
2466364997
Professional Enrollment ID
I20210212001183
Address ID
KY410419815FL55XXXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

886 EMERGENCY MEDICINE in KY

Provider Addresses for DR. BENJAMIN B MATTINGLY (MD)

  • 2, Chestnut Street, Metro Center, Springfield, Hampden County, Massachusetts, 01103, United States

    SPRINGFIELD, MA 01199

    Phone: (413) 794-5700

    Type: Mailing

  • 7100 CHRISTY CRK

    MOREHEAD, KY 403517658

    Phone: (134) 813-5330

    Type: Mailing

  • 222 MEDICAL CIR

    MOREHEAD, KY 403511179

    Phone: (413) 813-5330

    Type: Location

  • Baystate Medical Center, 759, Chestnut Street, North End, Springfield, Hampden County, Massachusetts, 01199, United States

    SPRINGFIELD, MA 01199

    Phone: (413) 794-3233

    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: 2021-02-12

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070711000012IEmergency MedicineMATBD
I20210212001183IEmergency MedicineKYTBD

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
99285Emergency department visit with high level of medical decision making8381$0
99284Emergency department visit with moderate level of medical decision making4848$0
99291Critical care, first 30-74 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 01199)

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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: 2466364997View full group profile
NameSpecialtyState
Nurse PractitionerTN
Emergency MedicineTN
Emergency MedicineWV
-AR
Emergency MedicineMA
-TN
-KY
Emergency Medicine, Internal Medicine, Emergency MedicineFL
Emergency MedicineTX
Family Practice, Emergency MedicineAR

Reviews

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Frequently asked questions

Is there an official ID for DR. BENJAMIN B MATTINGLY (MD) in U.S. healthcare records?
The official identifier for DR. BENJAMIN B MATTINGLY (MD) is NPI 1235348194.
Is DR. BENJAMIN B MATTINGLY (MD) still an active registrant?
DR. BENJAMIN B MATTINGLY (MD) carries an active NPI according to the public dataset.
What area of care is associated with DR. BENJAMIN B MATTINGLY (MD)?
DR. BENJAMIN B MATTINGLY (MD)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. BENJAMIN B MATTINGLY (MD) located near Springfield?
DR. BENJAMIN B MATTINGLY (MD) currently maps to Springfield, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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