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

Q: 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.

Q: What is Kirk Matthews's specialty?

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

Q: 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.

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: October 18, 2026.

On this page

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

Phone(919) 571-1040

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

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.

Medicare Billing Reassignments

Medicare enrollment records show Kirk Matthews reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wilmington Health PLLC

120 mi

Multi-Specialty

1202 MEDICAL CENTER DR
Wilmington, NC 28401

Reassigned Medicare billing, North Carolina enrollment
444 clinicians in this Medicare group

NPI 1881632339 (910) 341-3300

Obhg North Carolina, P.C.

128 mi

Obstetrics & Gynecology

1000 BLYTHE BLVD
Charlotte, NC 28203

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Obhg North Carolina PC
196 clinicians in this Medicare group

NPI 1124300876 (800) 967-2289

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 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

Quality

90.09

Promoting Interoperability

100

Improvement Activities

Cost

80.24

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.

RALEIGH OB/GYN CENTRE, PA

Specialist

4414 LAKE BOONE TRL, SUITE 405
RALEIGH, NC 27607

Wake County (919) 875-8225

DR. MYRA LYNN TEASLEY M.D.

Specialist

4414 LAKE BOONE TRL, SUITE 300
RALEIGH, NC 27607

Wake County (919) 781-5510

SACHIN S MUDVARI MD

Ophthalmology (Retina Specialist)

4414 LAKE BOONE TRL, SUITE 302
RALEIGH, NC 27607

Wake County (919) 782-8038

STOCKS SURGICAL CENTER, PLLC

Specialist

4414 LAKE BOONE TRL, SUITE 309
RALEIGH, NC 27607

Wake County (919) 850-0880

ERIN C. BURNETTE NP

Nurse Practitioner (Family)

4414 LAKE BOONE TRL
RALEIGH, NC 27607

Wake County (919) 781-5510

NORTH RALEIGH CARDIOVASCULAR DISEASES PA

Specialist

4414 LAKE BOONE TRL, SUITE 409
RALEIGH, NC 27607

Wake County (919) 790-0130

DR. JENIFER RAE BRISCOE-BRIMMAGE MD

Obstetrics & Gynecology

4414 LAKE BOONE TRL, SUITE 405
RALEIGH, NC 27607

Wake County (919) 876-8225

MR. JAMES GLENDON TRENNER P.A.-C

Physician Assistant (Medical)

4414 LAKE BOONE TRL, SUITE 502
RALEIGH, NC 27607

Wake County (919) 875-0539

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.

Which organizations bill Medicare for Kirk Matthews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kirk Matthews reassigns Medicare benefits to 2 organizations: Wilmington Health PLLC (Wilmington, NC) and Obhg North Carolina, P.C. (Charlotte, NC). 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 Kirk Matthews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kirk Matthews accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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.