MARK AARON MATTHEWS M.D.
NPI 1245348390
Internal Medicine - Cardiovascular Disease in Toccoa, GA

Q: What is Mark Matthews's NPI number?

The NPI number for Mark Matthews is 1245348390. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Q: What is Mark Matthews's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Matthews was last updated on January 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 28, 2006PECOS EnrolledAccepts Medicare Assignment

61.31/100

CMS Quality Rating

163 HOSPITAL DR, TOCCOA, GA 30577(706) 282-4200(706) 282-4456 Get Directions Write a Review

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

Record update history: Jan 29, 2026, Apr 8, 2025, Aug 24, 2023 and 3 more (6 updates tracked since 2020).

On this page

About Mark Aaron Matthews M.d. NPPES

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

MARK AARON MATTHEWS M.D. (NPI 1245348390) is an individual cardiovascular disease provider in Toccoa, Georgia, licensed in Georgia (54861) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Stephens County Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2002).

NPPES Registry Identity

NPI1245348390

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameMARK AARON MATTHEWSCredential: M.D.

Location Address163 HOSPITAL DRToccoa, GA 30577-6820

Mailing Address230 Hospital DrToccoa, GA 30577-6888 · (404) 845-8200 · Fax (404) 962-6001

Phone(706) 282-4200

Fax(706) 282-4456

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2002

Enumeration DateAugust 28, 2006

Last NPPES UpdateJanuary 29, 20266 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2026

✔ NPI 1245348390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in GA · 54861✔ Licensed in SC · 90757

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 90757 (SC)

163 HOSPITAL DR, Toccoa, GA 30577

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Mark Aaron 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 ID9537168117

PECOS Enrollment IDI20080724000013, I20230907003511

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 24

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.

775 services441 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

752 services550 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.

466 services466 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

312 services156 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

288 services72 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

218 services215 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

215 services212 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

154 services154 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.

148 services124 patients

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional 93272

An Electrocardiogram (ECG) is a test that records the electrical activity of your heart. For up to 30 days, a device will continuously monitor your heart's rhythm, noting any symptoms. The data is sent to a healthcare professional who reviews it and provides a report on your heart health.

85 services83 patients

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring 93270

An Electrocardiogram (ECG) is a test that monitors your heart's electrical activity for up to 30 days. It helps identify irregular heartbeats or rhythms. You'll wear a small device that records your heart activity, especially when symptoms like chest pain or palpitations occur.

84 services83 patients

Injection, aminophyllin, up to 250 mg J0280

An aminophyllin injection is a treatment often used for severe asthma or other lung conditions. It helps to relax and open air passages in the lungs, making it easier to breathe. Up to 250 mg can be administered in one dose.

69 services69 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

57 services23 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

46 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

46 services46 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

37 services34 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

27 services25 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

25 services18 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

19 services19 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

14 services14 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

14 services14 patients

Ultrasound scan of abdominal aorta 76706

An ultrasound scan of the abdominal aorta is a non-invasive imaging test. It uses sound waves to create pictures of the main blood vessel in your abdomen, the aorta, to check its size and shape. This helps detect any abnormalities or issues early.

12 services12 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

12 services12 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Stephens County Hospital

Acute Care Hospitals · Toccoa, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110032

Location163 Hospital DriveToccoa, GA 30577 · Stephens County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30577 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

61.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

79.1

Promoting Interoperability

Improvement Activities

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Other Providers at the Same Location NPPES 20

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

CURRAHEE ANESTHESIA ASSOCIATES

Nurse Anesthetist, Certified Registered

163 HOSPITAL DR
TOCCOA, GA 30577

Stephens County (706) 282-4200

STEPHENS COUNTY HOSPITAL AUTHORITY

Medicare Defined Swing Bed Unit

163 HOSPITAL DR
TOCCOA, GA 30577

Stephens County (706) 282-4281

STEPHENS COUNTY HOSPITAL AUTHORITY

General Acute Care Hospital (Rural)

163 HOSPITAL DR
TOCCOA, GA 30577

Stephens County (706) 282-4363

MORGAN WOOD MD

Emergency Medicine

163 HOSPITAL DR
TOCCOA, GA 30577

Stephens County (706) 282-4363

DR. ENRIQUE PUERTOS PHARMD

Pharmacist

163 HOSPITAL DR
TOCCOA, GA 30577

Stephens County (706) 282-4268

CURRAHEE ANESTHESIA ASSOCIATES

Nurse Anesthetist, Certified Registered

163 HOSPITAL DR, STEPHENS COUNTY HOSPITAL
TOCCOA, GA 30577

Stephens County (706) 319-0457

STEPHENS COUNTY AMBULANCE SERVICE

Ambulance

163 HOSPITAL DR
TOCCOA, GA 30577

Stephens County (706) 282-4363

DR. CURT MATTHEW VANORMAN PHARM. D.

Pharmacist

163 HOSPITAL DR
TOCCOA, GA 30577

Stephens County (706) 282-4200

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 Mark Matthews's NPI number?

The NPI number for Mark Matthews is 1245348390. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Mark Matthews located?

Mark Matthews practices at 163 Hospital Dr, Toccoa, GA 30577. The listed phone number is (706) 282-4200.

What is Mark Matthews's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mark Matthews enrolled in Medicare?

Yes. Mark 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.

What insurance does Mark Matthews accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Mark Matthews 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 Mark Matthews affiliated with any hospitals?

According to CMS data, Mark Matthews is affiliated with Stephens County Hospital.

When was this NPI record last updated?

The NPPES record for Mark Matthews was last updated on January 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.