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JORDAN MATHEWS MD
NPI 1386375525
Family Medicine in Walton, KY

Active since June 20, 2022PECOS EnrolledAccepts Medicare Assignment
13260 SERVICE RD, WALTON, KY 41094(859) 485-4116(859) 485-1389 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jordan Mathews Md NPPES

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

JORDAN MATHEWS MD (NPI 1386375525) is an individual family medicine provider in Walton, Kentucky, licensed in Kentucky (60405) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386375525
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJORDAN MATHEWSCredential: MD
Location Address13260 SERVICE RDWalton, KY 41094-9530
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 485-4116 · Fax (859) 485-1389
Phone(859) 485-4116
Fax(859) 485-1389
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 20, 2022
Last NPPES UpdateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
✔ NPI 1386375525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in KY · 60405✔ Licensed in IN · 11022513A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13260 SERVICE RD, Walton, KY 41094
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Mathews Md 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 ID3072992981
PECOS Enrollment IDI20250729000514
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.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Mathews reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group, Inc
13 mi
Psychiatry
1360 DOLWICK DRIVE
Erlanger, KY 41018
  • Reassigned Medicare billing, Kentucky enrollment
  • 946 clinicians in this Medicare group
NPI 1508287640 (859) 344-5555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

St Elizabeth Grant

Critical Access Hospitals · Williamstown, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number181311
Location238 Barnes RoadWilliamstown, KY 41097 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41094 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 5

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

NANCY SHUPE M.D.
Family Medicine
13260 SERVICE RD
WALTON, KY 41094
Boone County (859) 485-4116
ANNE T DONOVAN M.D.
Family Medicine
13260 SERVICE RD
WALTON, KY 41094
Boone County (859) 485-4116
CINCINNATI HEALTHCARE GROUP PSC, DBA PATIENT FIRST PHYSICIANS GROUP
Family Medicine
13260 SERVICE RD
WALTON, KY 41094
Boone County (859) 485-4116
JOSEPH E MARTIN M.D.
Internal Medicine
13260 SERVICE RD
WALTON, KY 41094
Boone County (859) 485-4116
MELISSA DIANE LARSON M.D.
Family Medicine
13260 SERVICE RD
WALTON, KY 41094
Boone County (859) 485-4116

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 Jordan Mathews's NPI number?

The NPI number for Jordan Mathews is 1386375525. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Jordan Mathews located?

Jordan Mathews practices at 13260 Service Rd, Walton, KY 41094. The listed phone number is (859) 485-4116.

What is Jordan Mathews's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jordan Mathews enrolled in Medicare?

Yes. Jordan 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.

Which organization bills Medicare for Jordan Mathews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Mathews reassigns Medicare benefits to Summit Medical Group, Inc (Erlanger, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Mathews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Mathews accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Jordan 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.

Is Jordan Mathews affiliated with any hospitals?

According to CMS data, Jordan Mathews is affiliated with St Elizabeth Edgewood, St Elizabeth Florence and St Elizabeth Grant.

When was this NPI record last updated?

The NPPES record for Jordan Mathews was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.