DR. JAMES K MATHESON DO
NPI 1023095726
Obstetrics & Gynecology in Amherst, OH

Q: What is James Matheson's NPI number?

The NPI number for James Matheson is 1023095726. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Q: What is James Matheson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for James Matheson was last updated on April 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 23, 2005PECOS EnrolledAccepts Medicare Assignment

578 N LEAVITT RD, AMHERST, OH 44001(440) 960-3912(440) 960-3913 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. James K Matheson Do NPPES

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

DR. JAMES K MATHESON DO (NPI 1023095726) is an individual obstetrics & gynecology provider in Amherst, Ohio, licensed in Ohio (34-00-4252) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Regional Medical Center, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1984).

NPPES Registry Identity

NPI1023095726

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. JAMES K MATHESONCredential: DO

Location Address578 N LEAVITT RDAmherst, OH 44001-1131

Mailing Address578 N Leavitt RdAmherst, OH 44001-1131 · (440) 960-3912 · Fax (440) 960-3913

Phone(440) 960-3912

Fax(440) 960-3913

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1984

Enumeration DateDecember 23, 2005

Last NPPES UpdateApril 25, 2019

✔ NPI 1023095726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in OH · 34-00-4252

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

578 N LEAVITT RD, Amherst, OH 44001

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Other Identifiers 1

Medicaid0762652OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Dr. James K Matheson Do 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 ID7012093230

PECOS Enrollment IDI20080327000454

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

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.

32 services16 patients

Hospital Affiliations CMS Care Compare

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

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360172

Location3700 Kolbe RoadLorain, OH 44053 · Lorain County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44001 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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Other Providers at the Same Location NPPES 16

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

LYNN A BOLENBAUGH PA-C

Physician Assistant