1. Home
  2. Directory
  3. Florida
  4. Palatka
  5. Family Medicine
  6. NPI Profile

JACK M MATHENY II
NPI 1629040043
Family Medicine in Palatka, FL

Active since February 02, 2006PECOS Enrolled
99.47/100
CMS Quality Rating
700 ZEAGLER DR STE 10, PALATKA, FL 32177(386) 328-6746(386) 328-7554 Get Directions Write a Review

NPPES record last updated: April 2, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jack M Matheny Ii NPPES

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

JACK M MATHENY II (NPI 1629040043) is an individual family medicine provider in Palatka, Florida, licensed in Florida (ME0048571) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629040043
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACK M MATHENY II
Location Address700 ZEAGLER DR STE 10Palatka, FL 32177-3826
Mailing Address700 Zeagler Dr Ste 10Palatka, FL 32177-3826 · (386) 328-6746 · Fax (386) 328-7554
Phone(386) 328-6746
Fax(386) 328-7554
Sole ProprietorYes
Enumeration DateFebruary 2, 2006
Last NPPES UpdateApril 2, 2019
✔ NPI 1629040043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME0048571
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
700 ZEAGLER DR STE 10, Palatka, FL 32177
Open in Google Maps ↗

Other Identifiers 3

Other372143400FL · Medicaid Group Number For Non Rural Health Services
Other372143401FL · Medicaid Group Number For Rural Health Clinic
Medicaid046979300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack M Matheny Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
837 services259 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.
516 services331 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.
220 services173 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
154 services154 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
42 services19 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32177 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

99.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.84
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
39%155 patients2/55-star benchmark: 100%
Breast Cancer Screening
71%1,025 patients4/55-star benchmark: 93%
Cervical Cancer Screening
33%1,125 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
6%124 patients
Closing the Referral Loop: Receipt of Specialist Report
55%60 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
48%2,062 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
76%1,659 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
18%709 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
23%709 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%13,316 patients4/55-star benchmark: 100%
e-Prescribing
98%599 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
71%1,234 patients3/55-star benchmark: 100%
HIV Screening
4%2,190 patients1/55-star benchmark: 60%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%5,150 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
63%2,716 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%1,301 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 1,203 patients
Patients totalRate: 18% · 1,311 patients
19%1,311 patients3/55-star benchmark: 100%
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 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier20 claims20 services$71.24 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers19 claims19 services$113.28 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$36.17 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers47 claims47 services$193.72 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 3

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

JACK M. MATHENY II, M.D.
Family Medicine
700 ZEAGLER DR STE 10
PALATKA, FL 32177
Putnam County (328) 328-6746
MRS. BRANDI NICOLE CLARKE APRN
Nurse Practitioner (Family)
700 ZEAGLER DR STE 10
PALATKA, FL 32177
Putnam County (386) 328-6746
JACK M. MATHENY II, MD
Family Medicine
700 ZEAGLER DR STE 10
PALATKA, FL 32177
Putnam County (386) 328-6746

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 Jack Matheny's NPI number?

The NPI number for Jack Matheny is 1629040043. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Jack Matheny located?

Jack Matheny practices at 700 Zeagler Dr Ste 10, Palatka, FL 32177. The listed phone number is (386) 328-6746.

What is Jack Matheny's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jack Matheny enrolled in Medicare?

Yes. Jack Matheny is registered in the Medicare PECOS enrollment system.

What insurance does Jack Matheny accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jack Matheny 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.

When was this NPI record last updated?

The NPPES record for Jack Matheny was last updated on April 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.