J BENJAMIN MATHENY PA
NPI 1255325098
Physician Assistant - Medical in Kokomo, IN

Q: What is J Matheny's NPI number?

The NPI number for J Matheny is 1255325098. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Q: What is J Matheny's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for J Matheny was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment

3508 S LAFOUNTAIN ST, KOKOMO, IN 46902(765) 776-8339 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2020, Dec 30, 2019, Sep 13, 2016 (3 updates tracked since 2016).

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About J Benjamin Matheny Pa NPPES

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

J BENJAMIN MATHENY PA (NPI 1255325098) is an individual medical provider in Kokomo, Indiana, licensed in Indiana (10000550A) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Community Howard Regional Health Inc., and is a graduate of Other (1998).

NPPES Registry Identity

NPI1255325098

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJ BENJAMIN MATHENYCredential: PA

Location Address3508 S LAFOUNTAIN STKokomo, IN 46902-3803

Mailing Address6626 E 75th St, Suite 500Indianapolis, IN 46250-2890

Phone(765) 776-8339

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateSeptember 8, 2005

Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2020

✔ NPI 1255325098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IN · 10000550A

3508 S LAFOUNTAIN ST, Kokomo, IN 46902

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

J Benjamin Matheny 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 ID7113979758

PECOS Enrollment IDI20050211000446

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 9

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 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.

205 services140 patients

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.

125 services96 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.

44 services44 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

16 services15 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

16 services16 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Community Howard Regional Health Inc.

Acute Care Hospitals · Kokomo, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150007

Location3500 S Lafountain StKokomo, IN 46902 · Howard County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 5

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

12 suppliers33 claims79 services$6.43 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

10 suppliers17 claims25 services$1.16 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$773.38 avg. paid by Medicare

Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery E0550

DME-Other DME · category DE000N

1 supplier12 claims12 services$34.30 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

1 supplier17 claims17 services$107.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

KAMEL INC.

Family Medicine