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ERIC MATHESON MD
NPI 1205808029
Family Medicine in Charleston, SC

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
295 CALHOUN ST, MUSC DEPT OF FAMILY MEDICINE, CHARLESTON, SC 29425(843) 792-8112 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Eric Matheson Md NPPES

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

ERIC MATHESON MD (NPI 1205808029) is an individual family medicine provider in Charleston, South Carolina, licensed in South Carolina (29751) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Eastern Virginia Medical School (2001).

NPPES Registry Identity

NPI1205808029
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERIC MATHESONCredential: MD
Location Address295 CALHOUN ST, MUSC DEPT OF FAMILY MEDICINECharleston, SC 29425-8908
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200
Phone(843) 792-8112
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2001
Enumeration DateFebruary 6, 2006
Last NPPES UpdateNovember 30, 2011
✔ NPI 1205808029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in SC · 29751✔ Licensed in FL · ME86862
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.
295 CALHOUN ST, Charleston, SC 29425
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Other Identifiers 1

Medicare UPINI17407

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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

Eric Matheson 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 ID4385603273
PECOS Enrollment IDI20070723000889
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 7

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.
297 services183 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.
144 services122 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
133 services26 patients
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.
74 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
60 services60 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
51 services16 patients

Hospital Affiliations CMS Care Compare

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims23 services$6.18 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers16 claims16 services$176.97 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 4

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

E FAMILY MEDICIN GRP
Clinic/Center (Medical Specialty)
295 CALHOUN ST
CHARLESTON, SC 29425
Charleston County (843) 792-3064
DR. ANDREA WESSELL PHARMD
Pharmacist
295 CALHOUN ST, FM 322
CHARLESTON, SC 29425
Charleston County (843) 792-0834
DR. KELLY R RAGUCCI PHARMD, BCPS, CDE
Pharmacist (Pharmacotherapy)
295 CALHOUN ST
CHARLESTON, SC 29425
Charleston County (843) 792-1674
SARAH SHRADER PHARMD
Pharmacist (Pharmacotherapy)
295 CALHOUN ST
CHARLESTON, SC 29425
Charleston County (843) 792-3451

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 Eric Matheson's NPI number?

The NPI number for Eric Matheson is 1205808029. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Eric Matheson located?

Eric Matheson practices at 295 Calhoun St Musc Dept Of Family Medicine, Charleston, SC 29425. The listed phone number is (843) 792-8112.

What is Eric Matheson's specialty?

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

Is Eric Matheson enrolled in Medicare?

Yes. Eric Matheson 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 Eric Matheson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Eric Matheson 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 Eric Matheson affiliated with any hospitals?

According to CMS data, Eric Matheson is affiliated with Musc Medical Center.

When was this NPI record last updated?

The NPPES record for Eric Matheson was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.