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MATHEWS JOHN M.D.
NPI 1174571574
Psychiatry & Neurology - Psychiatry in Terre Haute, IN

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
609 E SURGERY CENTER DR, TERRE HAUTE, IN 47802(812) 917-5091(812) 558-3303 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mathews John M.d. NPPES

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

MATHEWS JOHN M.D. (NPI 1174571574) is an individual psychiatry provider in Terre Haute, Indiana, licensed in Indiana (01054293) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and is a graduate of University College Of Medicine (1991).

NPPES Registry Identity

NPI1174571574
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMATHEWS JOHNCredential: M.D.
Location Address609 E SURGERY CENTER DRTerre Haute, IN 47802-6815
Mailing AddressPo Box 4323Terre Haute, IN 47804-0323 · (812) 231-8323 · Fax (812) 231-8400
Phone(812) 917-5091
Fax(812) 558-3303
Sole ProprietorNo
Medical School CMSUniversity College Of MedicineGraduated 1991
Enumeration DateMay 5, 2006
Last NPPES UpdateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1174571574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IN · 01054293
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
609 E SURGERY CENTER DR, Terre Haute, IN 47802
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Other Identifiers 1

Medicaid200356060IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mathews John 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 ID1052454386
PECOS Enrollment IDI20100208000745
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 3

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.
489 services100 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.
82 services31 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
41 services17 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47802 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
100%26 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%147 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%38 patients5/55-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.

Other Providers at the Same Location NPPES 2

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

WABASH VALLEY THERAPY, LLC
Social Worker (Clinical)
609 E SURGERY CENTER DR
TERRE HAUTE, IN 47802
Vigo County (812) 917-5091
MS. DIANNA RUTH COOPER-BOLINSKEY L.C.S.W.
Social Worker (Clinical)
609 E SURGERY CENTER DR
TERRE HAUTE, IN 47802
Vigo County (812) 917-5091

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 Mathews John's NPI number?

The NPI number for Mathews John is 1174571574. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Mathews John located?

Mathews John practices at 609 E Surgery Center Dr, Terre Haute, IN 47802. The listed phone number is (812) 917-5091.

What is Mathews John's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mathews John enrolled in Medicare?

Yes. Mathews John 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 Mathews John accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Mathews John 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 Mathews John affiliated with any hospitals?

According to CMS data, Mathews John is affiliated with Union Hospital Inc.

When was this NPI record last updated?

The NPPES record for Mathews John was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.