DR. ADNAN H MATTA (MD) – Vascular Surgery Physician, NPI 1841242815
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
242 VASCULAR SURGERY in MI
Provider Addresses for DR. ADNAN H MATTA (MD)
4090 E14 MILE RD STE 100
WARREN, MI 480921196
Phone: (586) 858-4111
Fax: (586) 858-4641
Type: Mailing
4090 E 14 MILE RD STE 100
WARREN, MI 480921196
Phone: (586) 858-4111
Fax: (586) 858-4641
Type: Location
835 MASON ST STE D140
DEARBORN, MI 481242256
Phone: (313) 914-4703
Fax: (313) 438-0148
Type: Mailing
Woodward Avenue, Pontiac, Oakland County, Michigan, 48342, United States
PONTIAC, MI 483415031
Phone: (248) 858-3060
Fax: (248) 858-3520
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-05-22 • Largest payer in this snapshot: Boston Scientific Corporation ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $21 |
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: 2008-06-02
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 |
|---|---|---|---|---|
| I20080602000777 | I | Vascular Surgery | MI | 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 |
|---|---|---|---|---|
| 36471 | Injection of chemical agent into multiple incompetent veins of leg | 54 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 12 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 12 | 12 | $0 |
Insurance plans in this area (ZIP 48092)
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