Melissa Martinez Mateo, M.D.
NPI 1003124280 · Gastroenterology Physician · Carbondale, IL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Melissa Martinez Mateo, M.D. is a Gastroenterology Physician provider in Carbondale, IL (NPI 1003124280).
Provider details
- NPI number
- 1003124280
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 01072250A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
523 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 192 | $126 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 84 | $73 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 36 | $106 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 34 | $76 |
| Moderate Sedation Services Provided By the Same Physician Or Other Qualified Health Care Professional Performing a Gastrointestinal Endoscopic Service That Sedation Supports, Requiring the Presence of an Independent Trained Observer to Assist in the MonitoG0500 | 33 | $6 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 84 | 39 |
| Sucralfate | 31 | 25 |
| Omeprazole | 17 | — |
| Famotidine | 12 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$608 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 2601 W Main StCarbondale, IL 62901-1031Phone: (618) 351-7300Fax: (618) 457-7890
- 15300 West Ave Ste 210Orland Park, IL 60462-4686Phone: (708) 226-2870Fax: (708) 226-2390
Registry dates
- Enumerated
- 2010-09-21
- Last updated
- 2025-12-04
- Certified
- 2025-12-04
Frequently asked questions
- What is Melissa Martinez Mateo's NPI number?
- Melissa Martinez Mateo's National Provider Identifier (NPI) is 1003124280, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melissa Martinez Mateo's specialty?
- Melissa Martinez Mateo is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Melissa Martinez Mateo located?
- Melissa Martinez Mateo's practice location on file with NPPES is 2601 W Main St, Carbondale, IL 62901-1031.
- What is Melissa Martinez Mateo's phone number?
- The practice phone number listed in the NPPES registry for Melissa Martinez Mateo is (618) 549-5361.
- Does Melissa Martinez Mateo accept Medicare?
- Melissa Martinez Mateo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Melissa Martinez Mateo's NPI active?
- Yes — Melissa Martinez Mateo's NPI (1003124280) is active in the NPPES registry as of the last update on 2025-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.