Provider Profile
Kenneth R. Mataragas, PA-C
Unclaimed ProfileAbout Kenneth Mataragas
Kenneth R. Mataragas, PA-C is a physician assistant based in Port Jefferson Station, NY. Medicare claims data shows Kenneth provided 899 services to 548 patients. The services billed most often include destruction of precancer skin growth, 2-14 growths, established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, and destruction of precancer skin growth, 1 growth.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
Education & Training
Specialty
Credentials & Licensing
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (631) 732-9090
- Email not available
Practice Locations
1500 NY-112 BUILDING 6 SUITE C
Port Jefferson Station, NY 11776
Procedures Most Often Billed to Medicare
899 services · 548 patients · 8 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Destruction of precancer skin growth, 2-14 growths | Procedure | 17003 |
284 | Less often than most peers in Physician Assistant |
| Destruction of precancer skin growth, 1 growth | Procedure | 17000 |
103 | As often as other peers in Physician Assistant |
| Biopsy of related skin growth, first growth | Procedure | 11102 |
92 | As often as other peers in Physician Assistant |
| Destruction of skin growth, 1-14 growths | Procedure | 17110 |
37 | Less often than most peers in Physician Assistant |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
231 | More often than most peers in Physician Assistant |
| Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | Office visit | 99212 |
91 | More often than most peers in Physician Assistant |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
40 | As often as other peers in Physician Assistant |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | Office visit | 99203 |
21 | As often as other peers in Physician Assistant |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other physician assistants in Port Jefferson Station 8
Same specialty, same city.
Trained at Other 8
Other providers in the same specialty who trained at the same institution.
More connections — 16 related providers in 2 groups
Class of 2017 at Other 8
Providers who graduated from the same medical school in the same year.
Also performs Destruction of precancer skin growth, 2-14 growths 8
Providers in NY who bill this service to Medicare most often.
Common questions
What does Kenneth R. Mataragas specialize in?
Kenneth R. Mataragas is a physician assistant in Port Jefferson Station, NY. That is the designation recorded for this NPI in the federal registry.
NPI registry
Where is Kenneth R. Mataragas located?
Kenneth R. Mataragas is listed at 1500 Ny-112 Building 6 Suite C, Port Jefferson Station, NY 11776. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
What is Kenneth R. Mataragas's phone number?
The number on file is (631) 732-9090. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
What is the NPI for Kenneth R. Mataragas?
Kenneth R. Mataragas's National Provider Identifier is 1003326133. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Kenneth R. Mataragas train?
Kenneth R. Mataragas attended Other, graduating in 2017. This comes from the CMS National Downloadable File.
CMS public data
How much experience does Kenneth R. Mataragas have?
Kenneth R. Mataragas has 9 years experience. Calculated from a graduation year of 2017, reported in the CMS National Downloadable File.
CMS public data
What does Kenneth R. Mataragas do most often?
According to Medicare billing data, Kenneth R. Mataragas performs procedures including destruction of precancer skin growth, 2-14 growths, destruction of precancer skin growth, 1 growth and biopsy of related skin growth, first growth, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Is Kenneth R. Mataragas's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by Kenneth R. Mataragas. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.