MATTHEW JOHN TOMPKINS M.D.
NPI 1003898941
Obstetrics & Gynecology - Gynecology in Lynchburg, VA

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
99.39/100
CMS Quality Rating
2728 OLD FOREST RD, LYNCHBURG, VA 24501(434) 385-7818(434) 385-7820 Get Directions Write a Review

NPPES record last updated: January 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew John Tompkins M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW JOHN TOMPKINS M.D. (NPI 1003898941) is an individual gynecology provider in Lynchburg, Virginia, licensed in Virginia (0101055374) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Mary Immaculate Hospital, and is a graduate of Ohio State University College Of Medicine (1995).

NPPES Registry Identity

NPI1003898941
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameMATTHEW JOHN TOMPKINSCredential: M.D.
Location Address2728 OLD FOREST RDLynchburg, VA 24501
Mailing Address2728 Old Forest RdLynchburg, VA 24501 · (434) 385-7818 · Fax (434) 385-7820
Fax(434) 385-7820
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1995
Enumeration DateNovember 16, 2005
Last NPPES UpdateJanuary 24, 2011
NPI 1003898941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in VA · 0101055374
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
2728 OLD FOREST RD, Lynchburg, VA 24501

Other Identifiers 4

Medicaid010285038VA
Medicare UPING99411VA
Medicare UPING99411
Medicare PIN00X095L03

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew John Tompkins M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688678998
PECOS Enrollment IDI20060829000210
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 24

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
719 services530 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
629 services550 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
594 services558 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
565 services565 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
320 services320 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
129 services129 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490041
Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County
Emergency services Birthing friendly

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Riverside Doctors' Hospital Of Williamsburg

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490143
Location1500 Commonwealth AvenueWilliamsburg, VA 23185 · James City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.11
Promoting Interoperability99
Improvement Activities40
Cost99.7

Reported Quality Measures

Breast Cancer Screening
74%2,223 patients4/55-star benchmark: 93%
Cervical Cancer Screening
87%2,783 patients4/55-star benchmark: 98%
Chlamydia Screening for Women
37%1,022 patients
Colorectal Cancer Screening
73%2,748 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
75%55 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
97%128 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%7,380 patients4/55-star benchmark: 100%
e-Prescribing
88%1,812 patients1/55-star benchmark: 100%
HIV Screening
21%3,709 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%5,206 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%5,256 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 77% · 3,617 patients
Patients screened: 84% · 3,617 patients
7%270 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
77%3,553 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,792 patients
Patients totalRate: 3% · 1,792 patients
3%1,792 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology
2728 OLD FOREST RD
LYNCHBURG, VA 24501
Allergy & Immunology
2728 OLD FOREST RD
LYNCHBURG, VA 24501
Obstetrics & Gynecology (Gynecology)
2728 OLD FOREST RD
LYNCHBURG, VA 24501
Nurse Practitioner
2728 OLD FOREST RD
LYNCHBURG, VA 24501
Allergy & Immunology
2728 OLD FOREST RD
LYNCHBURG, VA 24501
Physician Assistant
2728 OLD FOREST RD
LYNCHBURG, VA 24501
Allergy & Immunology
2728 OLD FOREST RD
LYNCHBURG, VA 24501
Nurse Practitioner (Women's Health)
2728 OLD FOREST RD
LYNCHBURG, VA 24501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Tompkins's NPI number?

The NPI number for Matthew Tompkins is 1003898941. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Matthew Tompkins located?

Matthew Tompkins practices at 2728 Old Forest Rd, Lynchburg, VA 24501. The listed phone number is (434) 385-7818.

What is Matthew Tompkins's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Matthew Tompkins enrolled in Medicare?

Yes. Matthew Tompkins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Matthew Tompkins affiliated with any hospitals?

According to CMS data, Matthew Tompkins is affiliated with Mary Immaculate Hospital, Riverside Regional Medical Center, Sentara Williamsburg Regional Medical Center, Riverside Walter Reed Hospital and Riverside Doctors' Hospital Of Williamsburg.

When was this NPI record last updated?

The NPPES record for Matthew Tompkins was last updated on January 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.