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JEFFREY L MATHEWS MD
NPI 1518968015
Internal Medicine - Rheumatology in St George, UT

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
81.83/100
CMS Quality Rating
1490 E FOREMASTER DR STE 220, ST GEORGE, UT 84790(435) 879-7610(435) 879-7292 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 15, 2022, May 20, 2020 (2 updates tracked since 2020).

About Jeffrey L Mathews Md NPPES

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

JEFFREY L MATHEWS MD (NPI 1518968015) is an individual rheumatology provider in St George, Utah, licensed in Utah (167264-1205) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1518968015
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJEFFREY L MATHEWSCredential: MD
Location Address1490 E FOREMASTER DR STE 220St George, UT 84790-4498
Mailing AddressPo Box 912042St George, UT 84791-2042 · (435) 215-0230 · Fax (435) 986-7092
Phone(435) 879-7610
Fax(435) 879-7292
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateAugust 9, 2005
Last NPPES UpdateFebruary 15, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
✔ NPI 1518968015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in UT · 167264-1205
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1490 E FOREMASTER DR STE 220, St George, UT 84790
Open in Google Maps ↗

Other Identifiers 3

Other24120UT · Pehp
Other36279UT · Dmba
Other4392470001UT · Dmerc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Jeffrey L 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 ID5294765368
PECOS Enrollment IDI20250710001243
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

4

Medicare enrollment records show Jeffrey Mathews reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jeffrey L Mathews MD A Professional Corporation
242 mi
Rheumatology
3507 N UNIVERSITY AVE STE 100
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 5 clinicians in this Medicare group
NPI 1487706826 (801) 818-1940
Providence Health & Services Washington
823 mi
Rural Health
1010 S SCHEUBER RD
Centralia, WA 98531
  • Reassigned Medicare billing, Washington enrollment
  • 646 clinicians in this Medicare group
NPI 1225763949 (360) 827-7966
Overlake Arthritis And Osteoporosis Center, PLLC
849 mi
Specialist
1310 116TH AVE NE, #C
Bellevue, WA 98004
  • Reassigned Medicare billing, Washington enrollment
  • 9 clinicians in this Medicare group
NPI 1174583728 (425) 453-0766
Central Maine Medical Center
2,302 mi
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
NPI 1689653487 (207) 795-5646

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 12

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.

Limited ultrasound scan of joint or other extremity structure except blood vessels 76882
A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.
267 services134 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
213 services108 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.
75 services39 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
54 services28 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
44 services24 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
41 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500019
Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84790 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

81.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.07
Promoting Interoperability100
Improvement Activities40
Cost58.38

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
51%563 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,115 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
54%1,247 patients2/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
93%313 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
5%4,115 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
10%39 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
85%684 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
42%684 patients3/55-star benchmark: 79%
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 5

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

MICHELLE CATHERINE BALLARD NP-C
Nurse Practitioner (Family)
1490 E FOREMASTER DR STE 220
ST GEORGE, UT 84790
Washington County (435) 879-7610
REBECCA ANN GARNER NP
Nurse Practitioner (Family)
1490 E FOREMASTER DR STE 220
ST GEORGE, UT 84790
Washington County (435) 879-7610
CORAL DESERT SPINE SURGERY
Specialist
1490 E FOREMASTER DR STE 220
ST GEORGE, UT 84790
Washington County (435) 656-8366
GARY DON SNOOK MD PC
Specialist
1490 E FOREMASTER DR STE 220
ST GEORGE, UT 84790
Washington County (435) 656-8366
KAMI STEVENS APRN
Nurse Practitioner (Family)
1490 E FOREMASTER DR STE 220
SAINT GEORGE, UT 84790
Washington County (435) 879-7610

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 Mathews's NPI number?

The NPI number for Jeffrey Mathews is 1518968015. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Jeffrey Mathews located?

Jeffrey Mathews practices at 1490 E Foremaster Dr Ste 220, St George, UT 84790. The listed phone number is (435) 879-7610.

What is Jeffrey Mathews's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Jeffrey Mathews enrolled in Medicare?

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

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Mathews reassigns Medicare benefits to 4 organizations: Jeffrey L Mathews MD A Professional Corporation (Provo, UT), Providence Health & Services Washington (Centralia, WA), Overlake Arthritis And Osteoporosis Center, PLLC (Bellevue, WA) and Central Maine Medical Center (Lewiston, ME). 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 Mathews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Mathews accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jeffrey 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 Jeffrey Mathews affiliated with any hospitals?

According to CMS data, Jeffrey Mathews is affiliated with Central Maine Medical Center and Providence Centralia Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Mathews was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.