JOHN QA MATTERN DO
NPI 1164495354
Hospitalist in Fishersville, VA

Active since February 09, 2006PECOS EnrolledAccepts Medicare Assignment
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939(540) 932-4075(540) 932-5199 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Qa Mattern Do NPPES

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

JOHN QA MATTERN DO (NPI 1164495354) is an individual hospitalist provider in Fishersville, Virginia, licensed in Virginia (0102201424) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (2000).

NPPES Registry Identity

NPI1164495354
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJOHN QA MATTERNCredential: DO
Location Address78 MEDICAL CENTER DRFishersville, VA 22939-2332
Mailing AddressPo Box 388Fishersville, VA 22939-0388 · (540) 932-4629 · Fax (540) 932-5875
Fax(540) 932-5199
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2000
Enumeration DateFebruary 9, 2006
Last NPPES UpdateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
NPI 1164495354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in VA · 0102201424
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
78 MEDICAL CENTER DR, Fishersville, VA 22939

Other Identifiers 7

Other210242VA · Southern Health
Other2202367VA · First Health
Other5748409VA · Cigna
Other5886945VA · Va Premier
Other466150VA · Anthem
Other64916VA · Optima
Medicaid005886945VA

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 Qa Mattern Do 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 ID3870556053
PECOS Enrollment IDI20041109000354
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.

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.
122 services73 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.
116 services62 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.
101 services99 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.
94 services91 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
35 services35 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
34 services31 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Augusta Health

Acute Care Hospitals · Fishersville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490018
Location78 Medical Center DriveFishersville, VA 22939 · Augusta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22939 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 2

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
2 suppliers16 claims16 services$14.38 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
2 suppliers24 claims24 services$82.78 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.

Emergency Medicine
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Student in an Organized Health Care Education/Training Program
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Internal Medicine (Interventional Cardiology)
78 MEDICAL CENTER DR, HEART & VASCULAR CENTER, 2ND FLR
FISHERSVILLE, VA 22939
Psychiatry & Neurology (Psychiatry)
78 MEDICAL CENTER DR, CROSSROADS
FISHERSVILLE, VA 22939
Hospitalist
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Student in an Organized Health Care Education/Training Program
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Anesthesiology
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Anesthesiology
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939

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 Mattern's NPI number?

The NPI number for John Mattern is 1164495354. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is John Mattern located?

John Mattern practices at 78 Medical Center Dr, Fishersville, VA 22939. The listed phone number is (540) 932-4075.

What is John Mattern's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is John Mattern enrolled in Medicare?

Yes. John Mattern 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.

Is John Mattern affiliated with any hospitals?

According to CMS data, John Mattern is affiliated with University Of Virginia Medical Center and Augusta Health.

When was this NPI record last updated?

The NPPES record for John Mattern was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.