KIRK J. MATTHEWS JR. MD
NPI 1629398185
Obstetrics & Gynecology in Raleigh, NC

Active since June 08, 2010PECOS EnrolledAccepts Medicare Assignment
91.1/100
CMS Quality Rating
4414 LAKE BOONE TRL, SUITE 210, RALEIGH, NC 27607(919) 571-1040(919) 781-0247 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kirk J. Matthews Jr. Md NPPES

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

KIRK J. MATTHEWS JR. MD (NPI 1629398185) is an individual obstetrics & gynecology provider in Raleigh, North Carolina, licensed in North Carolina (2014-00989) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2010).

NPPES Registry Identity

NPI1629398185
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameKIRK J. MATTHEWS JR.Credential: MD
Location Address4414 LAKE BOONE TRL, SUITE 210Raleigh, NC 27607-7513
Mailing Address4414 Lake Boone Trl, Suite 210Raleigh, NC 27607-7513 · (919) 571-1040 · Fax (919) 781-0247
Fax(919) 781-0247
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2010
Enumeration DateJune 8, 2010
Last NPPES UpdateJune 24, 2014
NPI 1629398185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NC · 2014-00989
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4414 LAKE BOONE TRL, Raleigh, NC 27607

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

Kirk J. Matthews Jr. 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 ID6204075948
PECOS Enrollment IDI20140929002831
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 3

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.

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.
26 services18 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
14 services14 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

91.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.09
Promoting Interoperability100
Improvement Activities40
Cost80.24

Reported Quality Measures

Breast Cancer Screening
84%262 patients4/55-star benchmark: 93%
Cervical Cancer Screening
90%1,254 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
26%99 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
55%432 patients3/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
97%1,928 patients4/55-star benchmark: 100%
e-Prescribing
99%286 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
32%1,081 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
32%1,617 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 33% · 1,142 patients
31%1,142 patients
Provide Patients Electronic Access to Their Health Information
98%602 patients4/55-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.

Other Providers at the Same Location NPPES 20

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

Specialist
4414 LAKE BOONE TRL, SUITE 405
RALEIGH, NC 27607
Specialist
4414 LAKE BOONE TRL, SUITE 300
RALEIGH, NC 27607
Ophthalmology (Retina Specialist)
4414 LAKE BOONE TRL, SUITE 302
RALEIGH, NC 27607
Specialist
4414 LAKE BOONE TRL, SUITE 309
RALEIGH, NC 27607
Nurse Practitioner (Family)
4414 LAKE BOONE TRL
RALEIGH, NC 27607
Specialist
4414 LAKE BOONE TRL, SUITE 409
RALEIGH, NC 27607
Obstetrics & Gynecology
4414 LAKE BOONE TRL, SUITE 405
RALEIGH, NC 27607
Physician Assistant (Medical)
4414 LAKE BOONE TRL, SUITE 502
RALEIGH, NC 27607

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 Kirk Matthews's NPI number?

The NPI number for Kirk Matthews is 1629398185. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Where is Kirk Matthews located?

Kirk Matthews practices at 4414 Lake Boone Trl Suite 210, Raleigh, NC 27607. The listed phone number is (919) 571-1040.

What is Kirk Matthews's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kirk Matthews enrolled in Medicare?

Yes. Kirk Matthews 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 Kirk Matthews accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kirk Matthews 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 Kirk Matthews was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.