DR. RYAN MATHEW M.D.
NPI 1043664899
Internal Medicine - Rheumatology in Kennesaw, GA

Active since April 19, 2016PECOS EnrolledAccepts Medicare Assignment
92.31/100
CMS Quality Rating
4255 WADE GREEN RD NW STE 925, KENNESAW, GA 30144(770) 284-3150 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2022, Aug 2, 2022, Jul 24, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Ryan Mathew M.d. NPPES

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

DR. RYAN MATHEW M.D. (NPI 1043664899) is an individual rheumatology provider in Kennesaw, Georgia, licensed in Georgia (105539) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Wayne State University School Of Medicine (2016).

NPPES Registry Identity

NPI1043664899
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. RYAN MATHEWCredential: M.D.
Location Address4255 WADE GREEN RD NW STE 925Kennesaw, GA 30144-1280
Mailing Address11731 Pointe PlRoswell, GA 30076-4636 · (770) 284-3150 · Fax (770) 284-3170
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2016
Enumeration DateApril 19, 2016
Last NPPES UpdateOctober 16, 20254 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1043664899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in GA · 105539✔ Licensed in AL · 44728
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.068511 (IL)
4255 WADE GREEN RD NW STE 925, Kennesaw, GA 30144

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ryan Mathew 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 ID7719270404
PECOS Enrollment IDI20250819002484
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ryan Mathew reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Specialty
11731 POINTE PL
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 32 clinicians in this Medicare group
Rheumatology
4280 WATERMELON RD STE 112
Northport, AL 35473
  • Reassigned Medicare billing, Alabama enrollment
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 33

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
11,200 services13 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,900 services47 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
474 services247 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
414 services206 patients
Red blood cell sedimentation rate, to detect inflammation, non-automated 85651
The Red Blood Cell Sedimentation Rate test measures how quickly red blood cells settle at the bottom of a test tube. If they settle faster than normal, it may indicate inflammation in the body. This test is non-automated, meaning it's manually performed by a lab technician.
405 services199 patients
Measurement c-reactive protein for detection of infection or inflammation 86140
C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.
405 services199 patients

Hospital Affiliations CMS Care Compare

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30144 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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.

92.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost74.39

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
4255 WADE GREEN RD NW STE 925
KENNESAW, GA 30144

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 Ryan Mathew's NPI number?

The NPI number for Ryan Mathew is 1043664899. It was assigned to this individual provider in the NPPES registry on April 19, 2016.

Where is Ryan Mathew located?

Ryan Mathew practices at 4255 Wade Green Rd NW Ste 925, Kennesaw, GA 30144. The listed phone number is (770) 284-3150.

What is Ryan Mathew's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ryan Mathew enrolled in Medicare?

Yes. Ryan Mathew 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.

Which organizations bill Medicare for Ryan Mathew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Mathew reassigns Medicare benefits to 2 organizations: Arthritis & Rheumatology Center PC (Roswell, GA) and Wv Medical Services PC (Northport, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Mathew accept?

Health plans from Ambetter Health and Oscar Health list Ryan Mathew as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ryan Mathew affiliated with any hospitals?

According to CMS data, Ryan Mathew is affiliated with Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ryan Mathew was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.