GREGORY WARREN MATTINGLY (M.D.) – Psychiatry Physician, NPI 1215933379

GREGORY WARREN MATTINGLY (M.D.) is a healthcare provider. based in Weldon spring, Missouri. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 102964 (MO). The NPI Number for GREGORY WARREN MATTINGLY (M.D.) is 1215933379

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY WARREN MATTINGLY (M.D.)
NPI
1215933379
Phone
(636) 949-5760
Address
4801 WELDON SPRING PKWY
Enumeration Date
23 June 2005
Last Update Date
26 January 2017

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6369495760
Graduation Year
1989 (37 years ago)
PAC ID
1456512128
Group Practice PAC ID
0648431312
Professional Enrollment ID
I20120410000409
Address ID
MO633049101WE4801XPKWY403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

819 PSYCHIATRY in MO

Provider Addresses for GREGORY WARREN MATTINGLY (M.D.)

  • 4801, Weldon Spring Parkway, Weldon Spring, Saint Charles County, Missouri, 63304, United States

    STE 300

    WELDON SPRING, MO 633049101

    Phone: (636) 949-5760

    Fax: (636) 949-0729

    Type: Mailing

  • 330 1ST CAPITOL DR

    STE 390

    SAINT CHARLES, MO 633012852

    Phone: (636) 949-5760

    Fax: (636) 949-0729

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1,588 Open Payments records for all available years, with a total value of $1,675,418.

Total Amount is formed as General ($1,675,418) + Research ($0) + Ownership ($0) = $1,675,418.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($335,793).

Total Amount

$1,675,418

General + Research + Ownership

Payments

1,588

Total payment records

General Amount

$1,675,418

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2012-04-10

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
I20120410000409IPsychiatryMOTBD

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
90833Psychotherapy with evaluation and management visit, 30 minutes16392$0
99214Established patient office or other outpatient visit, 30-39 minutes14084$0
99213Established patient office or other outpatient visit, 20-29 minutes3428$0
90785Psychiatric services complicated by communication factor3221$0
90792Psychiatric diagnostic evaluation with medical services1111$0
View full utilization report →

Insurance plans in this area (ZIP 63304)

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Provider's Procedures

GREGORY WARREN MATTINGLY (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYMO90792Psychiatric diagnostic evaluation with medical services2222

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: 0648431312View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
P S Y C H I A T R YMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Is there an official ID for GREGORY WARREN MATTINGLY (M.D.) in U.S. healthcare records?
The official identifier for GREGORY WARREN MATTINGLY (M.D.) is NPI 1215933379.
Active or inactive — what applies to GREGORY WARREN MATTINGLY (M.D.)?
You should see GREGORY WARREN MATTINGLY (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to GREGORY WARREN MATTINGLY (M.D.)?
GREGORY WARREN MATTINGLY (M.D.)'s specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for GREGORY WARREN MATTINGLY (M.D.)?
Travel planning: use Weldon Spring, Missouri as the reference point for GREGORY WARREN MATTINGLY (M.D.), then confirm.
Can I trust this NPI listing for GREGORY WARREN MATTINGLY (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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