DR. THOMAS K III MATTINGLY (M.D.) – Neurological Surgery Physician, NPI 1528038528

DR. THOMAS K III MATTINGLY (M.D.) is a healthcare provider. based in Manakin sabot, Virginia. specializing in NEUROSURGERY. They hold the professional credentials M.D.. They hold a License No. 0101236200 (VA). The NPI Number for DR. THOMAS K III MATTINGLY (M.D.) is 1528038528

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS K III MATTINGLY (M.D.)
NPI
1528038528
Phone
(519) 318-3855
Address
2569 Covey Run
Enumeration Date
24 January 2006
Last Update Date
29 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5852255767
Graduation Year
1998 (28 years ago)
PAC ID
6002897733
Group Practice PAC ID
5294733747
Professional Enrollment ID
I20180112001845
Address ID
NY144241723CA395XXSTXX302
Telehealth
Yes

Contacts

Secure Messaging
tmattingly122714@direct.urmc.rochester.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

184 NEUROSURGERY in VA

Provider Addresses for DR. THOMAS K III MATTINGLY (M.D.)

  • 2569 Covey Run

    Manakin Sabot, VA 231032175

    Phone: (519) 318-3855

    Fax: (804) 330-4529

    Type: Location

  • University of Rochester Medical Center, 601, Elmwood Avenue, Upper Mount Hope, Rochester, Monroe, New York, 14611, United States

    ROCHESTER, NY 146422175

    Phone: (585) 273-1900

    Fax: (585) 276-2663

    Type: Location

  • 601 ELMWOOD AVE BOX 670

    ROCHESTER, NY 146420001

    Phone: (585) 273-1900

    Fax: (585) 276-2663

    Type: Mailing

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: 2018-01-12

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
I20180112001845INeurosurgeryNYTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes11246$0
76937Ultrasonic guidance for blood vessel access3929$0
99214Established patient office or other outpatient visit, 30-39 minutes3532$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2828$0
36226Insertion of tube into brain artery for diagnosis or treatment with review by radiologist2522$0
View full utilization report →

Insurance plans in this area (ZIP 23103)

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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: 5294733747View full group profile

Reviews

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Frequently asked questions

How is DR. THOMAS K III MATTINGLY (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. THOMAS K III MATTINGLY (M.D.) with NPI 1528038528.
Can I rely on DR. THOMAS K III MATTINGLY (M.D.) being an active provider?
As of the registry snapshot, DR. THOMAS K III MATTINGLY (M.D.) is marked active.
What is DR. THOMAS K III MATTINGLY (M.D.) best known for clinically?
Directory data describes DR. THOMAS K III MATTINGLY (M.D.) with Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does DR. THOMAS K III MATTINGLY (M.D.) serve?
DR. THOMAS K III MATTINGLY (M.D.)'s listing highlights Manakin Sabot, Virginia; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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