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MATTHEW WALTER JAENICKE M.D.
NPI 1063892008
Internal Medicine - Rheumatology in Mt Pleasant, SC

Active since June 04, 2015PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
890 JOHNNIE DODDS BLVD SUITE 2A, MT PLEASANT, SC 29464(843) 881-9971(843) 881-9973 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2020, Oct 6, 2020, Aug 13, 2018 and 1 more (4 updates tracked since 2018).

About Matthew Walter Jaenicke M.d. NPPES

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

MATTHEW WALTER JAENICKE M.D. (NPI 1063892008) is an individual rheumatology provider in Mt Pleasant, South Carolina, licensed in South Carolina (38299) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Mount Pleasant Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (2015).

NPPES Registry Identity

NPI1063892008
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMATTHEW WALTER JAENICKECredential: M.D.
Location Address890 JOHNNIE DODDS BLVD SUITE 2AMt Pleasant, SC 29464
Mailing Address890 Johnnie Dodds Blvd Suite 2aMt Pleasant, SC 29464 · (843) 881-9971 · Fax (843) 881-9973
Phone(843) 881-9971
Fax(843) 881-9973
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2015
Enumeration DateJune 4, 2015
Last NPPES UpdateApril 24, 20254 updates tracked since enumeration
NPPES CertifiedNovember 12, 2020
✔ NPI 1063892008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in SC · 38299
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
890 JOHNNIE DODDS BLVD SUITE 2A, Mt Pleasant, SC 29464
Open in Google Maps ↗

Other Identifiers 1

Medicaid0000030538VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Matthew Walter Jaenicke 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 ID2567762164
PECOS Enrollment IDI20201013001995
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 Matthew Jaenicke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Cooper Rheumatology, PA
0.1 mi
Rheumatology
890 JOHNNIE DODDS BLVD, SUITE 2-A
Mount Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1932435039 (843) 881-9971
Southeastern Rheumatology Alliance
250 mi
Rheumatology
700 S ENOTA DR NE
Gainesville, GA 30501
  • Reassigned Medicare billing, South Carolina enrollment
  • 8 clinicians in this Medicare group
NPI 1114795663 (770) 531-3711

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 4

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
37 services27 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.
28 services24 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.
25 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Mount Pleasant Hospital

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420104
Location3510 Highway 17 North Suite 140Mount Pleasant, SC 29466 · Charleston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
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.

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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

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 Jaenicke's NPI number?

The NPI number for Matthew Jaenicke is 1063892008. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Matthew Jaenicke located?

Matthew Jaenicke practices at 890 Johnnie Dodds Blvd Suite 2A, Mt Pleasant, SC 29464. The listed phone number is (843) 881-9971.

What is Matthew Jaenicke's specialty?

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

Is Matthew Jaenicke enrolled in Medicare?

Yes. Matthew Jaenicke 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 Matthew Jaenicke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Jaenicke reassigns Medicare benefits to 2 organizations: East Cooper Rheumatology, PA (Mount Pleasant, SC) and Southeastern Rheumatology Alliance (Gainesville, GA). 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 Matthew Jaenicke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Jaenicke accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Matthew Jaenicke 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 Matthew Jaenicke affiliated with any hospitals?

According to CMS data, Matthew Jaenicke is affiliated with Mount Pleasant Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Jaenicke was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.