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DR. JEFFREY M. MATHENY M.D.
NPI 1518039742
Orthopaedic Surgery in West Mifflin, PA

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment
2027 LEBANON CHURCH RD FL 1, WEST MIFFLIN, PA 15122(412) 469-1660(412) 469-8972 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Jeffrey M. Matheny M.d. NPPES

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

DR. JEFFREY M. MATHENY M.D. (NPI 1518039742) is an individual orthopaedic surgery provider in West Mifflin, Pennsylvania, licensed in Pennsylvania (MD-422997) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and is a graduate of Pennsylvania State University College Of Medicine (1993).

NPPES Registry Identity

NPI1518039742
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JEFFREY M. MATHENYCredential: M.D.
Location Address2027 LEBANON CHURCH RD FL 1West Mifflin, PA 15122-2461
Mailing Address1200 Brooks Lane, Suite 240Jefferson, PA 15025 · (412) 469-1660 · Fax (412) 469-8972
Phone(412) 469-1660
Fax(412) 469-8972
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1993
Enumeration DateNovember 14, 2006
Last NPPES UpdateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1518039742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in PA · MD-422997
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.
2027 LEBANON CHURCH RD FL 1, West Mifflin, PA 15122
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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

Dr. Jeffrey M. Matheny 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 ID4082512249
PECOS Enrollment IDI20031224000021, I20260108000140
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 Reassignments

3

Medicare enrollment records show Jeffrey Matheny reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allegheny Clinic
Same address
Internal Medicine
2027 LEBANON CHURCH RD
West Mifflin, PA 15122
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
NPI 1568898559 (412) 655-8650
Washington Physician Services Organization
14 mi
Obstetrics & Gynecology
1200 MCKEAN AVE STE 102
Charleroi, PA 15022
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Washington Physician Services
  • 179 clinicians in this Medicare group
NPI 1609991660 (724) 483-1340
Medstar Medical Group II LLC
183 mi
Critical Care Medicine
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1376887844 (Maryland)
  • 3,530 clinicians in this Medicare group
NPI 1205562816 (703) 558-1403

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

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, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
314 services82 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
187 services97 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
105 services28 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
85 services56 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.
83 services69 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.
58 services49 patients

Hospital Affiliations CMS Care Compare

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

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210028
Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15122 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 2

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

KENNETH BARNHART
Physician Assistant (Surgical)
2027 LEBANON CHURCH RD FL 1
WEST MIFFLIN, PA 15122
Allegheny County (412) 469-1660
STEEL VALLEY ORTHOPAEDICS AND SPORTS MEDICINE
Orthopaedic Surgery
2027 LEBANON CHURCH RD FL 1
WEST MIFFLIN, PA 15122
Allegheny County (412) 469-1660

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 Jeffrey Matheny's NPI number?

The NPI number for Jeffrey Matheny is 1518039742. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Jeffrey Matheny located?

Jeffrey Matheny practices at 2027 Lebanon Church Rd Fl 1, West Mifflin, PA 15122. The listed phone number is (412) 469-1660.

What is Jeffrey Matheny's specialty?

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

Is Jeffrey Matheny enrolled in Medicare?

Yes. Jeffrey Matheny 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 organizations bill Medicare for Jeffrey Matheny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Matheny reassigns Medicare benefits to 3 organizations: Allegheny Clinic (West Mifflin, PA), Washington Physician Services Organization (Charleroi, PA) and Medstar Medical Group II LLC (Washington, DC). Each 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 Jeffrey Matheny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jeffrey Matheny affiliated with any hospitals?

According to CMS data, Jeffrey Matheny is affiliated with Medstar Saint Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Matheny was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.