1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Orthopaedic Surgery
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JUSTIN MATHEW MD
NPI 1548767981
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Louisville, KY

Active since April 11, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
210 E GRAY ST STE 900, LOUISVILLE, KY 40202(502) 584-7525(502) 584-6851 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2026, Jul 10, 2023, Apr 11, 2018 (3 updates tracked since 2018).

About Dr. Justin Mathew Md NPPES

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

DR. JUSTIN MATHEW MD (NPI 1548767981) is an individual orthopaedic surgery of the spine provider in Louisville, Kentucky, licensed in Kentucky (57711) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1548767981
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. JUSTIN MATHEWCredential: MD
Location Address210 E GRAY ST STE 900Louisville, KY 40202-3905
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5339
Phone(502) 584-7525
Fax(502) 584-6851
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 11, 2018
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1548767981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in KY · 57711
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 57711 (KY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
210 E GRAY ST STE 900, Louisville, KY 40202
Open in Google Maps ↗

Other Identifiers 4

OtherK0000581KY · Medicar
Other57711KY · State License
Medicaid300077658IN
Medicaid7100906210KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Justin Mathew 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 ID2961749726
PECOS Enrollment IDI20230712002482
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 8

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.

Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
68 services17 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
28 services16 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.
22 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 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.
17 services14 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150009
Location1220 Missouri AveJeffersonville, IN 47130 · Clark County
Emergency services Birthing friendly

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

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.

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

Other Providers at the Same Location NPPES 16

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

AMER AHMAD MD
Student in an Organized Health Care Education/Training Program
210 E GRAY ST STE 900
LOUISVILLE, KY 40202
Jefferson County (502) 584-7525
ANNE BUCK PA
Physician Assistant
210 E GRAY ST STE 900
LOUISVILLE, KY 40202
Jefferson County (502) 584-7525
DAVID R YEAGER PA
Physician Assistant (Surgical)
210 E GRAY ST STE 900
LOUISVILLE, KY 40202
Jefferson County (502) 584-7525
ERIC G DAVIS MD
Transplant Surgery
210 E GRAY ST STE 900
LOUISVILLE, KY 40202
Jefferson County (502) 569-2220
MITCHELL FOSTER BOWERS MD
Orthopaedic Surgery
210 E GRAY ST STE 900
LOUISVILLE, KY 40202
Jefferson County (502) 584-7525
BREN HINES PA-C
Physician Assistant
210 E GRAY ST STE 900
LOUISVILLE, KY 40202
Jefferson County (502) 584-7525
ADAM WAYNE CUMMINS ARNP
Nurse Practitioner (Acute Care)
210 E GRAY ST STE 900
LOUISVILLE, KY 40202
Jefferson County (502) 584-7525
DR. KYLE WILLIAM GEIGER MD
General Practice
210 E GRAY ST STE 900
LOUISVILLE, KY 40202
Jefferson County (502) 584-7526

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 Justin Mathew's NPI number?

The NPI number for Justin Mathew is 1548767981. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Justin Mathew located?

Justin Mathew practices at 210 E Gray St Ste 900, Louisville, KY 40202. The listed phone number is (502) 584-7525.

What is Justin Mathew's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Justin Mathew enrolled in Medicare?

Yes. Justin 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 Justin Mathew accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Justin 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 Justin Mathew affiliated with any hospitals?

According to CMS data, Justin Mathew is affiliated with Clark Memorial Hospital, Owensboro Health Regional Hospital and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Justin Mathew was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.