DR. TOKUNBO JAMES MATTHEWS M.D.
NPI 1205994852
Internal Medicine - Pulmonary Disease in Newport News, VA

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
12200 WARWICK BLVD STE 290, NEWPORT NEWS, VA 23601(757) 534-5454 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Tokunbo James Matthews M.d. NPPES

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

DR. TOKUNBO JAMES MATTHEWS M.D. (NPI 1205994852) is an individual pulmonary disease provider in Newport News, Virginia, licensed in Virginia (0101243759) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2006).

NPPES Registry Identity

NPI1205994852
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. TOKUNBO JAMES MATTHEWSCredential: M.D.
Location Address12200 WARWICK BLVD STE 290Newport News, VA 23601-2344
Mailing Address856 J Clyde Morris Blvd Ste ANewport News, VA 23601-1318
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2006
Enumeration DateDecember 5, 2006
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
NPI 1205994852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in VA · 0101243759 Licensed in PA · MD468355
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 57.012644 (OH)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD468355 (PA)
12200 WARWICK BLVD STE 290, Newport News, VA 23601

Other Identifiers 1

Other57.012644MD · Training Certificate

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

Dr. Tokunbo James Matthews 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 ID7012167786
PECOS Enrollment IDI20231114003407
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 10

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.
309 services171 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
127 services127 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
46 services46 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
43 services43 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
29 services29 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
20 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Riverside Doctors' Hospital Of Williamsburg

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490143
Location1500 Commonwealth AvenueWilliamsburg, VA 23185 · James City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23601 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.

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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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 suppliers37 claims37 services$13.66 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers44 claims44 services$5.14 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
5 suppliers98 claims99 services$64.75 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers70 claims71 services$30.03 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
6 suppliers19 claims4,850 services$0.03 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
8 suppliers33 claims1,950 services$0.76 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 15

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

Nurse Practitioner
12200 WARWICK BLVD STE 290
NEWPORT NEWS, VA 23601
Internal Medicine
12200 WARWICK BLVD STE 290
NEWPORT NEWS, VA 23601
Nurse Practitioner (Adult Health)
12200 WARWICK BLVD STE 290
NEWPORT NEWS, VA 23601
Nurse Practitioner (Family)
12200 WARWICK BLVD STE 290
NEWPORT NEWS, VA 23601
Internal Medicine (Pulmonary Disease)
12200 WARWICK BLVD STE 290
NEWPORT NEWS, VA 23601
Internal Medicine (Pulmonary Disease)
12200 WARWICK BLVD STE 290
NEWPORT NEWS, VA 23601
Internal Medicine (Pulmonary Disease)
12200 WARWICK BLVD STE 290
NEWPORT NEWS, VA 23601
Physician Assistant
12200 WARWICK BLVD STE 290
NEWPORT NEWS, VA 23601

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 Tokunbo Matthews's NPI number?

The NPI number for Tokunbo Matthews is 1205994852. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Tokunbo Matthews located?

Tokunbo Matthews practices at 12200 Warwick Blvd Ste 290, Newport News, VA 23601. The listed phone number is (757) 534-5454.

What is Tokunbo Matthews's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Tokunbo Matthews enrolled in Medicare?

Yes. Tokunbo Matthews 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 Tokunbo Matthews affiliated with any hospitals?

According to CMS data, Tokunbo Matthews is affiliated with Riverside Regional Medical Center, Sentara Careplex Hospital, Riverside Walter Reed Hospital and Riverside Doctors' Hospital Of Williamsburg.

When was this NPI record last updated?

The NPPES record for Tokunbo Matthews was last updated on November 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.