DR. EDWIN ROY MATHEWS DO
NPI 1225657125
Internal Medicine in Jacksonville, IL

Active since April 10, 2020PECOS EnrolledAccepts Medicare Assignment
72.14/100
CMS Quality Rating
15 FOUNDERS LN STE 100, JACKSONVILLE, IL 62650(217) 243-0300(217) 245-6775 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 23, 2023, Aug 16, 2023, Apr 10, 2020 (3 updates tracked since 2020).

About Dr. Edwin Roy Mathews Do NPPES

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

DR. EDWIN ROY MATHEWS DO (NPI 1225657125) is an individual internal medicine provider in Jacksonville, Illinois, licensed in Illinois (036.165011) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1225657125
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EDWIN ROY MATHEWSCredential: DO
Location Address15 FOUNDERS LN STE 100Jacksonville, IL 62650-3924
Mailing Address15 Founders Ln Ste 100Jacksonville, IL 62650-3924 · (217) 243-0300 · Fax (217) 245-6775
Fax(217) 245-6775
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 10, 2020
Last NPPES UpdateOctober 23, 20233 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
NPI 1225657125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036.165011
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

15 FOUNDERS LN STE 100, Jacksonville, IL 62650

Other Identifiers 1

Other036.165011IL · Md License

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. Edwin Roy Mathews 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 ID648694448
PECOS Enrollment IDI20230417001894, I20230830002147
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.

Hospital Affiliations CMS Care Compare 2

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141352
Location1600 W Walnut StJacksonville, IL 62650 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62650 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

72.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Improvement Activities40
Cost53.06

Other Providers at the Same Location NPPES 9

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

Counselor (Professional)
15 FOUNDERS LN STE 100
JACKSONVILLE, IL 62650
Nurse Practitioner (Pediatrics)
15 FOUNDERS LN STE 100
JACKSONVILLE, IL 62650
Counselor (Professional)
15 FOUNDERS LN STE 100
JACKSONVILLE, IL 62650
Family Medicine
15 FOUNDERS LN STE 100
JACKSONVILLE, IL 62650
Family Medicine
15 FOUNDERS LN STE 100
JACKSONVILLE, IL 62650
Nurse Practitioner (Family)
15 FOUNDERS LN STE 100
JACKSONVILLE, IL 62650
Internal Medicine
15 FOUNDERS LN STE 100
JACKSONVILLE, IL 62650
Physician Assistant (Medical)
15 FOUNDERS LN STE 100
JACKSONVILLE, IL 62650

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 Edwin Mathews's NPI number?

The NPI number for Edwin Mathews is 1225657125. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Edwin Mathews located?

Edwin Mathews practices at 15 Founders Ln Ste 100, Jacksonville, IL 62650. The listed phone number is (217) 243-0300.

What is Edwin Mathews's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edwin Mathews enrolled in Medicare?

Yes. Edwin Mathews 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 Edwin Mathews affiliated with any hospitals?

According to CMS data, Edwin Mathews is affiliated with Memorial Medical Center and Jacksonville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Edwin Mathews was last updated on October 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.