MICHELLE MARIA MATHESON PA
NPI 1235318833
Physician Assistant in Johnson City, NY

Active since October 31, 2007PECOS EnrolledAccepts Medicare Assignment
84.63/100
CMS Quality Rating
30 HARRISON ST STE 455, JOHNSON CITY, NY 13790(607) 763-8100(607) 763-8048 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2022, Oct 17, 2017 (2 updates tracked since 2017).

About Michelle Maria Matheson Pa NPPES

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

MICHELLE MARIA MATHESON PA (NPI 1235318833) is an individual physician assistant in Johnson City, New York, licensed in New York (012040) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with United Health Services Hospitals, Inc, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1235318833
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMICHELLE MARIA MATHESONCredential: PA
Location Address30 HARRISON ST STE 455Johnson City, NY 13790-2176
Mailing Address33 Lewis Rd, 2nd FloorBinghamton, NY 13905 · (607) 729-8156 · Fax (607) 729-3982
Fax(607) 763-8048
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 31, 2007
Last NPPES UpdateJuly 11, 20222 updates tracked since enumeration
NPPES CertifiedJuly 11, 2022
NPI 1235318833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 012040
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedHospitalistTaxonomy 208M00000X · License 012040 (NY)
30 HARRISON ST STE 455, Johnson City, NY 13790

Other Identifiers 1

Medicaid03236537NY

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

Michelle Maria Matheson Pa 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 ID840372736
PECOS Enrollment IDI20080131000088
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

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
63 services26 patients

Hospital Affiliations CMS Care Compare

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

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.96
Promoting Interoperability100
Improvement Activities40
Cost54.42

Other Providers at the Same Location NPPES 6

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

Surgery
30 HARRISON ST STE 455
JOHNSON CITY, NY 13790
Colon & Rectal Surgery
30 HARRISON ST STE 455
JOHNSON CITY, NY 13790
Physician Assistant
30 HARRISON ST STE 455
JOHNSON CITY, NY 13790
Physician Assistant
30 HARRISON ST STE 455
JOHNSON CITY, NY 13790
Surgery
30 HARRISON ST STE 455
JOHNSON CITY, NY 13790
Physician Assistant
30 HARRISON ST STE 455
JOHNSON CITY, NY 13790

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 Michelle Matheson's NPI number?

The NPI number for Michelle Matheson is 1235318833. It was assigned to this individual provider in the NPPES registry on October 31, 2007.

Where is Michelle Matheson located?

Michelle Matheson practices at 30 Harrison St Ste 455, Johnson City, NY 13790. The listed phone number is (607) 763-8100.

What is Michelle Matheson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michelle Matheson enrolled in Medicare?

Yes. Michelle 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.

Is Michelle Matheson affiliated with any hospitals?

According to CMS data, Michelle Matheson is affiliated with United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Michelle Matheson was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.