DR. MARK R MATTHEWS M.D.
NPI 1083694418
Pathology - Anatomic Pathology in Houston, TX

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4131 DIRECTORS ROW, HOUSTON, TX 77092(877) 697-2447(855) 697-2447 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark R Matthews M.d. NPPES

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

DR. MARK R MATTHEWS M.D. (NPI 1083694418) is an individual anatomic pathology provider in Houston, Texas, licensed in Texas (L0403) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1994).

NPPES Registry Identity

NPI1083694418
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameDR. MARK R MATTHEWSCredential: M.D.
Location Address4131 DIRECTORS ROWHouston, TX 77092-8703
Mailing Address4131 Directors RowHouston, TX 77092-8703 · (877) 697-2447 · Fax (855) 697-2447
Fax(855) 697-2447
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1994
Enumeration DateJanuary 20, 2006
Last NPPES UpdateApril 19, 2023
NPPES CertifiedApril 19, 2023
NPI 1083694418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License Licensed in TX · L0403
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License L0403 (TX)
Also ListedPathology · Pediatric PathologyTaxonomy 207ZP0213X · License L0403 (TX)
4131 DIRECTORS ROW, Houston, TX 77092

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

Dr. Mark R Matthews 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 ID2860435245
PECOS Enrollment IDI20251105002642
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 9

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
8,067 services5,440 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
661 services258 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
336 services297 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
249 services224 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
117 services89 patients
Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
112 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77092 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 12

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

Pathology (Dermatopathology)
4131 DIRECTORS ROW
HOUSTON, TX 77092
Dermatology (Dermatopathology)
4131 DIRECTORS ROW
HOUSTON, TX 77092
Pathology (Anatomic Pathology & Clinical Pathology)
4131 DIRECTORS ROW
HOUSTON, TX 77092
Pathology (Anatomic Pathology & Clinical Pathology)
4131 DIRECTORS ROW, 4131 DIRECTORS ROW
HOUSTON, TX 77092
Pathology (Anatomic Pathology & Clinical Pathology)
4131 DIRECTORS ROW
HOUSTON, TX 77092
Clinical Medical Laboratory
4131 DIRECTORS ROW
HOUSTON, TX 77092
Pathology (Anatomic Pathology & Clinical Pathology)
4131 DIRECTORS ROW
HOUSTON, TX 77092
Dermatology (Dermatopathology)
4131 DIRECTORS ROW
HOUSTON, TX 77092

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 Mark Matthews's NPI number?

The NPI number for Mark Matthews is 1083694418. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Mark Matthews located?

Mark Matthews practices at 4131 Directors Row, Houston, TX 77092. The listed phone number is (877) 697-2447.

What is Mark Matthews's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Mark Matthews enrolled in Medicare?

Yes. Mark Matthews 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 Mark Matthews accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice, Molina Healthcare and Oscar Health Plan, Inc. list Mark Matthews 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.

When was this NPI record last updated?

The NPPES record for Mark Matthews was last updated on April 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.