JOHN R. MATTHEIS MD
NPI 1053361329
Family Medicine in Florence, SC

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
555 E CHEVES ST, FLORENCE, SC 29506(843) 777-2800(843) 777-2810 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John R. Mattheis Md NPPES

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

JOHN R. MATTHEIS MD (NPI 1053361329) is an individual family medicine provider in Florence, South Carolina, licensed in South Carolina (19564) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1996).

NPPES Registry Identity

NPI1053361329
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN R. MATTHEISCredential: MD
Location Address555 E CHEVES STFlorence, SC 29506-2617
Mailing AddressPo Box 100567Florence, SC 29501-0567 · (843) 777-2800 · Fax (843) 777-2810
Fax(843) 777-2810
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1996
Enumeration DateMay 10, 2006
Last NPPES UpdateJanuary 15, 2013
NPI 1053361329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 19564
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

555 E CHEVES ST, Florence, SC 29506

Other Identifiers 3

Medicare ID-Type Unspecified5819SC · Group Number
MedicaidT35389SC
Medicare UPING74122SC

Accepted 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

John R. Mattheis Md 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 ID8729075239
PECOS Enrollment IDI20040427001354
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 11

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 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.
169 services99 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
145 services73 patients
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.
140 services103 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
81 services52 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
53 services49 patients
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.
48 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29506 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers11 claims21 services$6.01 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$16.39 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$79.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Occupational Therapist
555 E CHEVES ST
FLORENCE, SC 29506
Physical Therapy Assistant
555 E CHEVES ST
FLORENCE, SC 29506
Nurse Practitioner (Family)
555 E CHEVES ST
FLORENCE, SC 29506
Internal Medicine
555 E CHEVES ST, MCLEOD REGIONAL MEDICAL CENTER
FLORENCE, SC 29506
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
555 E CHEVES ST
FLORENCE, SC 29506
Physician Assistant
555 E CHEVES ST
FLORENCE, SC 29506
Nurse Anesthetist, Certified Registered
555 E CHEVES ST
FLORENCE, SC 29506
Nurse Anesthetist, Certified Registered
555 E CHEVES ST
FLORENCE, SC 29506

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 John Mattheis's NPI number?

The NPI number for John Mattheis is 1053361329. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is John Mattheis located?

John Mattheis practices at 555 E Cheves St, Florence, SC 29506. The listed phone number is (843) 777-2800.

What is John Mattheis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Mattheis enrolled in Medicare?

Yes. John Mattheis 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.

What insurance does John Mattheis accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and InStil Health list John Mattheis 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 John Mattheis affiliated with any hospitals?

According to CMS data, John Mattheis is affiliated with Mcleod Regional Medical Center-Pee Dee and Musc Health Florence Medical Center.

When was this NPI record last updated?

The NPPES record for John Mattheis was last updated on January 15, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.