MATTHAN JACKSON DO
NPI 1194170571
Family Medicine in Elkins, WV

Active since May 04, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
240 ALLEGHENY HWY, ELKINS, WV 26241(304) 636-0133 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, Apr 6, 2022, May 24, 2021 and 2 more (5 updates tracked since 2019).

About Matthan Jackson Do NPPES

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

MATTHAN JACKSON DO (NPI 1194170571) is an individual family medicine provider in Elkins, West Virginia, licensed in West Virginia (3347) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains a secondary practice location in Mill Creek.

NPPES Registry Identity

NPI1194170571
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHAN JACKSONCredential: DO
Location Address240 ALLEGHENY HWYElkins, WV 26241-5749
Mailing Address240 Allegheny HwyElkins, WV 26241-5749 · (304) 636-0133
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2016
Enumeration DateMay 4, 2016
Last NPPES UpdateSeptember 10, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1194170571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WV · 3347
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
240 ALLEGHENY HWY, Elkins, WV 26241

Secondary Practice Location 1

Location 146 Town Center Plz Ste AMill Creek, WV 26280-9752 · Phone (304) 335-2050

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

Matthan Jackson 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 ID7012209380
PECOS Enrollment IDI20190820000196
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 2

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.
225 services89 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.
112 services95 patients

Hospital Affiliations CMS Care Compare 4

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Davis Medical Center

Acute Care Hospitals · Elkins, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510030
Location812 Gorman AvenueElkins, WV 26241 · Randolph County
Emergency services Birthing friendly

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511321
Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26241 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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$19.93 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 suppliers16 claims16 services$111.70 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 13

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

Physician Assistant
240 ALLEGHENY HWY
ELKINS, WV 26241
Counselor (Mental Health)
240 ALLEGHENY HWY
ELKINS, WV 26241
Nurse Practitioner
240 ALLEGHENY HWY
ELKINS, WV 26241
Nurse Practitioner
240 ALLEGHENY HWY
ELKINS, WV 26241
Nurse Practitioner (Psychiatric/Mental Health)
240 ALLEGHENY HWY
ELKINS, WV 26241
Counselor
240 ALLEGHENY HWY
ELKINS, WV 26241
Nurse Practitioner (Family)
240 ALLEGHENY HWY
ELKINS, WV 26241
Counselor (Mental Health)
240 ALLEGHENY HWY
ELKINS, WV 26241

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 Matthan Jackson's NPI number?

The NPI number for Matthan Jackson is 1194170571. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Matthan Jackson located?

Matthan Jackson practices at 240 Allegheny Hwy, Elkins, WV 26241. The listed phone number is (304) 636-0133.

What is Matthan Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthan Jackson enrolled in Medicare?

Yes. Matthan Jackson 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 Matthan Jackson accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Matthan Jackson 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 Matthan Jackson affiliated with any hospitals?

According to CMS data, Matthan Jackson is affiliated with West Virginia University Hospitals, Inc, United Hospital Center, Inc, Davis Medical Center and St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for Matthan Jackson was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.