CRISTIN JOHN MATHEW D.O.
NPI 1497015952
Orthopaedic Surgery in Houston, TX

Active since May 17, 2012PECOS EnrolledAccepts Medicare Assignment
17.64/100
CMS Quality Rating
1045 GEMINI ST STE 100, HOUSTON, TX 77058(281) 335-1111(281) 286-9250 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 28, 2020, Sep 7, 2018 (2 updates tracked since 2018).

About Cristin John Mathew D.o. NPPES

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

CRISTIN JOHN MATHEW D.O. (NPI 1497015952) is an individual orthopaedic surgery provider in Houston, Texas, licensed in Texas (R8422) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1497015952
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameCRISTIN JOHN MATHEWCredential: D.O.
Location Address1045 GEMINI ST STE 100Houston, TX 77058-2806
Mailing Address1045 Gemini St Ste 100Houston, TX 77058-2806 · (281) 335-1111 · Fax (281) 286-9250
Fax(281) 286-9250
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 17, 2012
Last NPPES UpdateDecember 28, 20202 updates tracked since enumeration
NPPES CertifiedDecember 28, 2020
NPI 1497015952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · R8422
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1045 GEMINI ST STE 100, Houston, TX 77058

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

Cristin John Mathew D.o. 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 ID4284978537
PECOS Enrollment IDI20181128000390
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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
580 services58 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.
339 services236 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
135 services97 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.
135 services107 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
120 services93 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
115 services91 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450709
Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris County
Emergency services Birthing friendly

Houston Physicians' Hospital

Acute Care Hospitals · Webster, TX
OwnershipPhysician
CMS Certification Number670008
Location333 N Texas AvenueWebster, TX 77598 · Harris County
Emergency services

St Luke's Patients Medical Center

Acute Care Hospitals · Pasadena, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670031
Location4600 East Sam Houston Parkway SouthPasadena, TX 77505 · Harris County
Emergency services

Townsen Memorial Hospital

Acute Care Hospitals · Humble, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670266
Location1475 Fm 1960 Bypass EHumble, TX 77338 · Harris County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77058 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

17.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality2.27
Improvement Activities0
Cost55.77

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.04%
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.

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.

Walker, folding (pickup), adjustable or fixed height E0135
DME-Other DME · category DE000N
2 suppliers14 claims14 services$33.51 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
5 suppliers17 claims17 services$41.43 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
2 suppliers42 claims785 services$21.48 avg. paid by Medicare
Dynamic adjustable knee extension / flexion device, includes soft interface material E1810
DME-Other DME · category DE000N
2 suppliers23 claims23 services$87.20 avg. paid by Medicare
Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1843
DME-Orthotic Devices · category DF011N
4 suppliers12 claims15 services$743.21 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 12

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

Physical Therapist
1045 GEMINI ST STE 100
HOUSTON, TX 77058
Physical Therapist
1045 GEMINI ST STE 100
HOUSTON, TX 77058
Orthopaedic Surgery
1045 GEMINI ST STE 100
HOUSTON, TX 77058
Physical Therapist
1045 GEMINI ST STE 100
HOUSTON, TX 77058
Physical Therapist
1045 GEMINI ST STE 100
HOUSTON, TX 77058
Orthopaedic Surgery
1045 GEMINI ST STE 100
HOUSTON, TX 77058
Physical Therapist
1045 GEMINI ST STE 100
HOUSTON, TX 77058
Physical Therapist
1045 GEMINI ST STE 100
HOUSTON, TX 77058

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 Cristin Mathew's NPI number?

The NPI number for Cristin Mathew is 1497015952. It was assigned to this individual provider in the NPPES registry on May 17, 2012.

Where is Cristin Mathew located?

Cristin Mathew practices at 1045 Gemini St Ste 100, Houston, TX 77058. The listed phone number is (281) 335-1111.

What is Cristin Mathew's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Cristin Mathew enrolled in Medicare?

Yes. Cristin Mathew 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 Cristin Mathew accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Cristin Mathew 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 Cristin Mathew affiliated with any hospitals?

According to CMS data, Cristin Mathew is affiliated with Memorial Hermann Hospital System, Houston Methodist Clear Lake Hospital, Houston Physicians' Hospital, St Luke's Patients Medical Center and Townsen Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Cristin Mathew was last updated on December 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.