DR. TIMOTHY JOHN MATHEWS MD
NPI 1134514607
Internal Medicine in Thomasville, NC

Active since April 01, 2015PECOS EnrolledAccepts Medicare Assignment
44.29/100
CMS Quality Rating
207 OLD LEXINGTON RD, THOMASVILLE, NC 27360(336) 474-3444(336) 474-8111 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2018, Aug 7, 2018 (2 updates tracked since 2018).

About Dr. Timothy John Mathews Md NPPES

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

DR. TIMOTHY JOHN MATHEWS MD (NPI 1134514607) is an individual internal medicine provider in Thomasville, North Carolina, licensed in North Carolina (2018-01826) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1134514607
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TIMOTHY JOHN MATHEWSCredential: MD
Location Address207 OLD LEXINGTON RDThomasville, NC 27360
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 474-3444 · Fax (336) 474-8111
Fax(336) 474-8111
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 1, 2015
Last NPPES UpdateOctober 5, 20182 updates tracked since enumeration
✔ NPI 1134514607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2018-01826
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 2018-01826 (NC)
207 OLD LEXINGTON RD, Thomasville, NC 27360

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. Timothy John Mathews 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 ID6800147513
PECOS Enrollment IDI20180919002307
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 Timothy Mathews reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
260 HOSPITAL DR
Brevard, NC 28712
  • Reassigned Medicare billing, North Carolina enrollment
  • 234 clinicians in this Medicare group
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, North Carolina enrollment
  • 511 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 5

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.

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.
454 services186 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.
163 services101 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.
116 services116 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
99 services97 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27360 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

44.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality25.35
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%589 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%263 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers23 claims23 services$18.76 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$915.48 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
6 suppliers44 claims44 services$97.60 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$35.00 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.

Nurse Anesthetist, Certified Registered
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Specialist
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Family Medicine
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Nurse Anesthetist, Certified Registered
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Nurse Practitioner (Neonatal, Critical Care)
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Internal Medicine (Critical Care Medicine)
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Psychiatry & Neurology (Psychiatry)
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Emergency Medical Technician, Basic
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360

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 Timothy Mathews's NPI number?

The NPI number for Timothy Mathews is 1134514607. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Timothy Mathews located?

Timothy Mathews practices at 207 Old Lexington Rd, Thomasville, NC 27360. The listed phone number is (336) 474-3444.

What is Timothy Mathews's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Timothy Mathews enrolled in Medicare?

Yes. Timothy Mathews 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 Timothy Mathews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Mathews reassigns Medicare benefits to 2 organizations: Southeastern Medical Group, PC (Brevard, NC) and Hospital Physician Services - Southeast Professional Corporation (Monroe, 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 Timothy Mathews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Timothy Mathews affiliated with any hospitals?

According to CMS data, Timothy Mathews is affiliated with Memorial Mission Hospital And Asheville Surgery Ce.

When was this NPI record last updated?

The NPPES record for Timothy Mathews was last updated on October 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.