DR. JOHN STEVEN MATHEWS M.D.
NPI 1326034562
Internal Medicine - Gastroenterology in Hot Springs, AR

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
151 MCGOWAN CT, HOT SPRINGS, AR 71913(501) 623-6277(501) 318-0430 Get Directions Write a Review

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Steven Mathews M.d. NPPES

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

DR. JOHN STEVEN MATHEWS M.D. (NPI 1326034562) is an individual gastroenterology provider in Hot Springs, Arkansas, licensed in Arkansas (C7720) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1989).

NPPES Registry Identity

NPI1326034562
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JOHN STEVEN MATHEWSCredential: M.D.
Location Address151 MCGOWAN CTHot Springs, AR 71913-6451
Mailing Address151 Mcgowan CtHot Springs, AR 71913-6451 · (501) 623-6277 · Fax (501) 318-0430
Fax(501) 318-0430
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1989
Enumeration DateSeptember 22, 2005
Last NPPES UpdateFebruary 5, 2014
NPI 1326034562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in AR · C7720
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

151 MCGOWAN CT, Hot Springs, AR 71913

Other Identifiers 4

Medicare UPINF77554AR
Medicare ID-Type Unspecified5J367AR · Medicare
Medicaid125169001AR
OtherC7720AR · Arkansas Medical License

Accepted 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

Dr. John Steven Mathews 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 ID42247512
PECOS Enrollment IDI20050728000598
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 16

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.
242 services209 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.
155 services136 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
152 services152 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
151 services147 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
131 services131 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
114 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71913 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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

Reported Quality Measures

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
Percentage of patients aged 50 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report
99%106 patients
Appropriate indication for colonoscopy
Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented
89%889 patients4/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine (Gastroenterology)
151 MCGOWAN CT
HOT SPRINGS, AR 71913
Internal Medicine (Gastroenterology)
151 MCGOWAN CT
HOT SPRINGS, AR 71913
Clinic/Center (Ambulatory Surgical)
151 MCGOWAN CT
HOT SPRINGS, AR 71913
Nurse Anesthetist, Certified Registered
151 MCGOWAN CT
HOT SPRINGS, AR 71913
Internal Medicine (Gastroenterology)
151 MCGOWAN CT
HOT SPRINGS, AR 71913
Nurse Anesthetist, Certified Registered
151 MCGOWAN CT
HOT SPRINGS, AR 71913

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 John Mathews's NPI number?

The NPI number for John Mathews is 1326034562. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is John Mathews located?

John Mathews practices at 151 Mcgowan Ct, Hot Springs, AR 71913. The listed phone number is (501) 623-6277.

What is John Mathews's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Mathews enrolled in Medicare?

Yes. John 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.

What insurance does John Mathews accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list John Mathews 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.

When was this NPI record last updated?

The NPPES record for John Mathews was last updated on February 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.