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Dr. Chad Jeffrey Mattila , DC

Chiropractor β€’ Otsego, MN

Active NPI 1306903299 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

13743 85th St Ne
Otsego, MN 553306815

Call 7634970899 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

13743 85th St Ne

Otsego, MN 553306815

Telephone 7634970899
Fax 7635928091
Organization at the Same NPPES Address or Phone
Northwest Spine And Pain Center Of St. Michael, Pa Facility NPI 1609995877

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2006

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

20 years (graduated 2006)

CMS Doctors and Clinicians data list 2006 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mattila has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Otsego and Minnesota

5 active clinicians are listed under Chiropractor with a practice address in Otsego, MN (3,377 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-05
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES MN 4894

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Group Npi
1609995877 (MN)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20070312000205

Enrollment State Jurisdiction

MN

PECOS Control ID

2264535319

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location January 16, 2024

Registered at 13743 85TH ST NE, OTSEGO, MN 553306815 (Tel: 7634970899)

πŸ“
Updated Business Mailing Address January 16, 2024

Registered at 13743 85TH ST NE, OTSEGO, MN 553306815 (Tel: 6126443392)

βœ…
NPI Profile Active January 14, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 14, 2014

Registered at 1 CENTRAL AVE W, SUITE 201, SAINT MICHAEL, MN 553769603 (Tel: 6126443392)

πŸ“
Business Mailing Address (Initial Record) January 14, 2014

Registered at 1 CENTRAL AVE W STE 201, SAINT MICHAEL, MN 553764590 (Tel: 6126443392)

πŸ‘€
Provider Name / Credentials (Initial Record) January 14, 2014

Recorded as CHAD MATTILA, D.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2014

Chiropractor (license number reported to NPPES: MN 4894)

🟒
Initial NPI Registration & Enumeration January 02, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306903299
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: January 16, 2024
Sole Proprietor: No

Mailing Address

13743 85th St Ne

Otsego, MN 553306815

Phone: 6126443392

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.