HEATHER G MATTHEWS PA
NPI 1477538098
Physician Assistant in Kinston, NC

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
701 DOCTORS DR, SUITE N, KINSTON, NC 28501(252) 559-2200(252) 522-9778 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2022, Jan 10, 2022, Dec 21, 2020 and 1 more (4 updates tracked since 2017).

About Heather G Matthews Pa NPPES

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

HEATHER G MATTHEWS PA (NPI 1477538098) is an individual physician assistant in Kinston, North Carolina, licensed in North Carolina (102570) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Unc Lenoir Health Care, and is a graduate of Duke University School Of Medicine (1998).

NPPES Registry Identity

NPI1477538098
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHEATHER G MATTHEWSCredential: PA
Location Address701 DOCTORS DR, SUITE NKinston, NC 28501-1584
Mailing Address701 Doctors Dr, Suite NKinston, NC 28501-1584 · (252) 559-2200 · Fax (252) 522-9778
Fax(252) 522-9778
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1998
Enumeration DateDecember 7, 2005
Last NPPES UpdateMay 19, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
NPI 1477538098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 102570
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.
701 DOCTORS DR, Kinston, NC 28501

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

Heather G Matthews 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 ID7618000498
PECOS Enrollment IDI20100730000126
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 27

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.
335 services109 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.
251 services97 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
189 services94 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.
126 services79 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
116 services79 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.
93 services49 patients

Hospital Affiliations CMS Care Compare

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

Unc Lenoir Health Care

Acute Care Hospitals · Kinston, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340027
Location100 Airport RdKinston, NC 28501 · Lenoir County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28501 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
6 suppliers30 claims51 services$6.37 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers15 claims18 services$1.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Surgery
701 DOCTORS DR, SUITE A
KINSTON, NC 28501
Internal Medicine
701 DOCTORS DR, SUITE N
KINSTON, NC 28501
Psychiatry & Neurology (Neurology)
701 DOCTORS DR, SUITE E2
KINSTON, NC 28501
Orthopaedic Surgery
701 DOCTORS DR, SUITE G
KINSTON, NC 28501
Orthopaedic Surgery
701 DOCTORS DR, SUITE G
KINSTON, NC 28501
Internal Medicine
701 DOCTORS DR, STE N
KINSTON, NC 28501
Surgery
701 DOCTORS DR, SUITE A
KINSTON, NC 28501
Otolaryngology
701 DOCTORS DR
KINSTON, NC 28501

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 Heather Matthews's NPI number?

The NPI number for Heather Matthews is 1477538098. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Heather Matthews located?

Heather Matthews practices at 701 Doctors Dr Suite N, Kinston, NC 28501. The listed phone number is (252) 559-2200.

What is Heather Matthews's specialty?

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

Is Heather Matthews enrolled in Medicare?

Yes. Heather 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 Heather Matthews accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Heather 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 Heather Matthews affiliated with any hospitals?

According to CMS data, Heather Matthews is affiliated with Unc Lenoir Health Care.

When was this NPI record last updated?

The NPPES record for Heather Matthews was last updated on May 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.