BRADLEY A. MATTSON – Diagnostic Radiology Physician, NPI 1972946044

BRADLEY A. MATTSON is a healthcare provider. based in Eden prairie, Minnesota. specializing in Diagnostic Radiology Physician. They hold a License No. 62122 (CT). The NPI Number for BRADLEY A. MATTSON is 1972946044

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY A. MATTSON
NPI
1972946044
Phone
(952) 595-1301
Address
11995 SINGLETREE LN STE 500
Enumeration Date
9 April 2013
Last Update Date
17 January 2019

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
3085342288
Graduation Year
2013 (13 years ago)
PAC ID
8729206016
Group Practice PAC ID
5395710800
Professional Enrollment ID
I20190926002807
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for BRADLEY A. MATTSON

  • 11995 SINGLETREE LN STE 500

    EDEN PRAIRIE, MN 553445349

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

  • 50 WARRINGTON ROUND

    DANBURY, CT 068105169

    Phone: (952) 595-1100

    Fax: (612) 294-4903

    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 $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-07-14 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-14

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: 2019-09-26

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
I20190926002807IDiagnostic RadiologyNETBD

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
71045X-ray of chest, 1 view672573$0
77063Screening 3d breast mammography503503$0
77067Screening mammography502502$0
74177Ct scan of abdomen and pelvis with contrast398365$0
71046X-ray of chest, 2 views389369$0
View full utilization report →

Insurance plans in this area (ZIP 55344)

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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: 5395710800View full group profile
NameSpecialtyState
-NE

Reviews

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Frequently asked questions

How is BRADLEY A. MATTSON identified in CMS data?
CMS-hosted NPPES data lists BRADLEY A. MATTSON with NPI 1972946044.
Does the file indicate BRADLEY A. MATTSON is practicing under active NPI?
Directory data currently reports BRADLEY A. MATTSON as active.
What healthcare role does BRADLEY A. MATTSON hold?
Scheduling teams often label BRADLEY A. MATTSON under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect BRADLEY A. MATTSON on a map?
Expect Eden Prairie, Minnesota as a primary anchor for BRADLEY A. MATTSON unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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