2026 NPPES data Urology Physician NPI 1497726830 MD
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JAMES MATTESON, MD

Urology Physician in HACKETTSTOWN, New Jersey. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
4K
Medicare Part D claims · 1K beneficiaries · Urology Physician avg: 1K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$21.79
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES MATTESON, MD is a Urology Physician ([object Object]) practicing in HACKETTSTOWN, New Jersey with a Medicare Part D prescribing footprint of 4K claims across 1K beneficiaries — 13% brand-name prescribing . Industry payments of $21.79 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES MATTESON, MD filed 4,055 Medicare Part D claims in 2023 across HACKETTSTOWN, New Jersey. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JAMES MATTESON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JAMES MATTESON, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 02/01/2006

NPI 1497726830

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

4,055 217% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

Specialty distribution in New Jersey

How Urology Physician compares to other specialties among New Jersey providers

New Jersey providers

Urology Physician share within New Jersey

1. Urology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Urology Physician share within New Jersey

Specialty board-certification context

Estimated specialty board-certified rate — Urology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Urology Physician ABMS/AOA estimate

Est. board-certified rate (Urology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Urology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JAMES MATTESON, MD is a Urology Physician provider practicing in HACKETTSTOWN, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1497726830. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JAMES MATTESON, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 616 WILLOW GROVE ST, HACKETTSTOWN, NJ, 07840, with a listed phone of (908) 813-2622. NPI 1497726830 was issued on 02/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MATTESON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 4,055 prescription claims written by this provider, covering 1,012 Medicare beneficiaries and totaling roughly $786K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 2.2%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

616 WILLOW GROVE ST
HACKETTSTOWN, NJ 07840

Provider Details

NPI 1497726830
Specialty Urology Physician
Credentials MD
Gender Male
NPI Issued 02/01/2006

Hospital and facility affiliations

Facilities where JAMES MATTESON, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SUMMIT MEDICAL GROUP PA
BERKELEY HEIGHTS, NJ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JAMES MATTESON, MD. Source: openpaymentsdata.cms.gov.

Total received

$22

Largest payer

Bayer Healthcare Pharmaceuticals Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

JAMES MATTESON, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 4,055 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

4,055
Total Claims
$786K
Total Drug Cost
1,012
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,686
Total Day Supply
241,583
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$655K
Generic Drug Cost
$130K
Opioid Claims
90 (2.2% rate)
Antibiotic Claims
689

Patient Demographics

Average Patient Age
75.1 years
Avg HCC Risk Score
1.38
Gender Split
15% female / 85% male
Age Distribution
<65: 49, 65-74: 441, 75-84: 400, 85+: 122

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Tamsulosin Hcl
1,000
Finasteride
432
Myrbetriq
Mirabegron
378
Dutasteride
285
Alfuzosin Hcl Er
Alfuzosin Hcl
192
Cephalexin
191
Oxybutynin Chloride Er
Oxybutynin Chloride
178
Cefuroxime
Cefuroxime Axetil
145
Solifenacin Succinate
102
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
95

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Urology Physician Overview

How JAMES MATTESON, MD fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

JAMES MATTESON, MD's 4,055 claims are above the specialty average of 1,280.

Nearby Urology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as MATTESON.

Compare Urology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES MATTESON, MD's specialty?
JAMES MATTESON, MD specializes in Urology Physician and practices in HACKETTSTOWN, New Jersey. Credentials: MD.
How much does JAMES MATTESON, MD prescribe under Medicare Part D?
In 2023, JAMES MATTESON, MD wrote 4,055 Medicare Part D claims totaling $786K in drug costs for 1,012 beneficiaries.
Where is JAMES MATTESON, MD located?
JAMES MATTESON, MD is located at 616 WILLOW GROVE ST, HACKETTSTOWN, NJ, 07840. Phone: (908) 813-2622.
What is JAMES MATTESON, MD's NPI number?
JAMES MATTESON, MD's National Provider Identifier (NPI) is 1497726830, issued on 02/01/2006.
Does JAMES MATTESON, MD prescribe more brand-name or generic drugs?
JAMES MATTESON, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $655K in brand drug costs.
Does JAMES MATTESON, MD prescribe opioids?
Yes, JAMES MATTESON, MD had 90 opioid claims in 2023 with an opioid prescribing rate of 2.2%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does JAMES MATTESON, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES MATTESON, MD's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Myrbetriq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES MATTESON, MD accept Medicare?
JAMES MATTESON, MD appears in CMS Medicare data with 4,055 Part D claims and 1,012 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES MATTESON, MD's credentials?
JAMES MATTESON, MD's NPI is 1497726830 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology