Mattison Pathology, L.L.P.
NPI 1063619922 · Anatomic Pathology & Clinical Pathology Physician · Dallas, TX
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mattison Pathology, L.L.P. is a Anatomic Pathology & Clinical Pathology Physician organization in Dallas, TX (NPI 1063619922).
Provider details
- NPI number
- 1063619922
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gregory Wolgamot, Medical Director(866) 987-7284
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cytopathology Physician207ZC0500X
Allopathic & Osteopathic Physicians
- Clinical Medical Laboratory291U00000X
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
934 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Detection Test By Nucleic Acid for Organism, Amplified Probe Technique87798 | 403 | $34 |
| Evaluation of Antimicrobial Drug (antibiotic, Antifungal, Antiviral), Microdilution Or Agar Dilution87186 | 112 | $8 |
| Amplifed Dna Or Rna Probe Detection of Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19) Antigen87635 | 61 | $50 |
| Detection Test By Nucleic Acid for Chlamydia Pneumoniae, Amplified Probe Technique87486 | 45 | $34 |
| Detection Test By Nucleic Acid for Legionella Pneumophila (water Borne Bacteria), Amplified Probe Technique87541 | 45 | $34 |
| Detection Test By Nucleic Acid for Mycoplasma Pneumoniae (bacteria), Amplified Probe Technique87581 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Avero Diagnostics
Additional practice locations (1)
- 4642 N Loop 289 Ste 205Lubbock, TX 79416-2424Phone: (866) 987-7284Fax: (469) 232-9927
Registry dates
- Enumerated
- 2007-07-02
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Frequently asked questions
- What is Mattison Pathology, L.L.P.'s NPI number?
- Mattison Pathology, L.L.P.'s National Provider Identifier (NPI) is 1063619922, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mattison Pathology, L.L.P.?
- Mattison Pathology, L.L.P. is classified in the NPPES registry as Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Mattison Pathology, L.L.P. located?
- Mattison Pathology, L.L.P.'s practice location on file with NPPES is 4245 N Central Expy Ste 420, Dallas, TX 75205-4566.
- What is Mattison Pathology, L.L.P.'s phone number?
- The practice phone number listed in the NPPES registry for Mattison Pathology, L.L.P. is (866) 987-7284.
- Does Mattison Pathology, L.L.P. accept Medicare?
- Mattison Pathology, L.L.P. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mattison Pathology, L.L.P.?
- The authorized official listed on Mattison Pathology, L.L.P.'s NPPES record is Gregory Wolgamot, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mattison Pathology, L.L.P.'s NPI active?
- Yes — Mattison Pathology, L.L.P.'s NPI (1063619922) is active in the NPPES registry as of the last update on 2025-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.