2026 NPPES data Pulmonary Disease Physician NPI 1366440224 MD
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LALAINE MATTISON, MD

Pulmonary Disease Physician in MAUMEE, Ohio. 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
2K
Medicare Part D claims · 221 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
41%
generic claims · 59% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$233.02
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

LALAINE MATTISON, MD filed 1,700 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in MAUMEE, Ohio, prescribing 41% generic.

2K
Part D claims, 2023
41%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

LALAINE MATTISON, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,700 Top 17% higher than 83% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). This entry sits in this band. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

LALAINE MATTISON, 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).

What does the federal data show about LALAINE MATTISON, MD?

Quality data not reported

NPI registry status

Active

Issued 07/13/2005

NPI 1366440224

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

1,700 17% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in Ohio

How Pulmonary Disease Physician compares to other specialties among Ohio providers

Ohio providers

Pulmonary Disease Physician share within Ohio

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Ohio

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Pulmonary Disease 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).

LALAINE MATTISON, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 5757 MONCLOVA RD, MAUMEE, OH, 43537, with a listed phone of (419) 482-9761. NPI 1366440224 was issued on 07/13/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MATTISON 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 1,700 prescription claims written by this provider, covering 221 Medicare beneficiaries and totaling roughly $683K in drug spend, split 59% brand-name and 41% generic by claim count. 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.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

5757 MONCLOVA RD
MAUMEE, OH 43537

Provider Details

NPI 1366440224
Specialty Pulmonary Disease Physician
Credentials MD
Gender Female
NPI Issued 07/13/2005

Hospital and facility affiliations

Facilities where LALAINE MATTISON, 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.

PROMEDICA MULTI SPECIALTY PHYSICIANS
TOLEDO, OH

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 LALAINE MATTISON, MD. Source: openpaymentsdata.cms.gov.

Total received

$233

Largest payer

Inspire Medical Systems, 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.

License & disciplinary context — Ohio OMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to LALAINE MATTISON, MD. To verify LALAINE MATTISON, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

LALAINE MATTISON, MD — brand share 59.0%
Specialty average (est.)

59% brand-name claims vs 41% generic, on 1,700 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.

1,700
Total Claims
$683K
Total Drug Cost
221
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,652
Total Day Supply
75,082
Brand vs Generic
59% brand / 41% generic
Brand Drug Cost
$649K
Antibiotic Claims
79

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
1.98
Gender Split
59% female / 41% male
Age Distribution
<65: 22, 65-74: 91, 75-84: 89, 85+: 19

Top Prescribed Drugs (Medicare Part D)

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

What LALAINE MATTISON, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
279
Albuterol Sulfate Hfa
Albuterol Sulfate
192
Breo Ellipta
Fluticasone/Vilanterol
104
Montelukast Sodium
100
Prednisone
85
Zolpidem Tartrate
70
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
67
Levalbuterol Tartrate Hfa
Levalbuterol Tartrate
50
Azithromycin
47
Symbicort
Budesonide/Formoterol Fumarate
45

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

Pulmonary Disease Physician Overview

How LALAINE MATTISON, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

LALAINE MATTISON, MD's 1,700 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Ohio

Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as MATTISON.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LALAINE MATTISON, MD's specialty?
LALAINE MATTISON, MD specializes in Pulmonary Disease Physician and practices in MAUMEE, Ohio. Credentials: MD.
How much does LALAINE MATTISON, MD prescribe under Medicare Part D?
In 2023, LALAINE MATTISON, MD wrote 1,700 Medicare Part D claims totaling $683K in drug costs for 221 beneficiaries.
Where is LALAINE MATTISON, MD located?
LALAINE MATTISON, MD is located at 5757 MONCLOVA RD, MAUMEE, OH, 43537. Phone: (419) 482-9761.
What is LALAINE MATTISON, MD's NPI number?
LALAINE MATTISON, MD's National Provider Identifier (NPI) is 1366440224, issued on 07/13/2005.
Does LALAINE MATTISON, MD prescribe more brand-name or generic drugs?
LALAINE MATTISON, MD's prescribing is 59% brand-name and 41% generic drugs by claim count, with $649K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does LALAINE MATTISON, MD prescribe most often?
Based on 2023 Medicare Part D data, LALAINE MATTISON, MD's most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Breo Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LALAINE MATTISON, MD accept Medicare?
LALAINE MATTISON, MD appears in CMS Medicare data with 1,700 Part D claims and 221 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LALAINE MATTISON, MD's credentials?
LALAINE MATTISON, MD's NPI is 1366440224 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