MATTHEW CARLTON DORN D.O.
NPI 1649477209
Surgery in Abingdon, VA

Active since June 28, 2007PECOS EnrolledAccepts Medicare Assignment
72.89/100
CMS Quality Rating
16000 JOHNSTON MEMORIAL DR, SUITE 101, ABINGDON, VA 24211(276) 258-1777(276) 258-1778 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2024, Feb 1, 2017 (2 updates tracked since 2017).

About Matthew Carlton Dorn D.o. NPPES

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

MATTHEW CARLTON DORN D.O. (NPI 1649477209) is an individual surgery provider in Abingdon, Virginia, licensed in Virginia (0102203056) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of University Of Virginia School Of Medicine (2007).

NPPES Registry Identity

NPI1649477209
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMATTHEW CARLTON DORNCredential: D.O.
Location Address16000 JOHNSTON MEMORIAL DR, SUITE 101Abingdon, VA 24211-7664
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Fax(276) 258-1778
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2007
Enumeration DateJune 28, 2007
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
NPI 1649477209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in VA · 0102203056 Licensed in OH · 34.0095-07
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
16000 JOHNSTON MEMORIAL DR, Abingdon, VA 24211

Other Identifiers 2

OtherP01128299VA · Railroad Medicare
Medicaid1649477209VA

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

Matthew Carlton Dorn D.o. 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 ID9234385709
PECOS Enrollment IDI20120816000312
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 13

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.
93 services74 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
86 services51 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
70 services66 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
65 services62 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
61 services61 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.
38 services30 patients

Hospital Affiliations CMS Care Compare 4

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Russell County Hospital

Acute Care Hospitals · Lebanon, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490002
Location58 Carroll StreetLebanon, VA 24266 · Russell County
Emergency services

Smyth County Community Hospital

Acute Care Hospitals · Marion, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number490038
Location245 Medical Park DriveMarion, VA 24354 · Smyth County
Emergency services

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24211 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

72.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality72.85
Promoting Interoperability99
Improvement Activities40
Cost29.7

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%69 patients
Breast Cancer Screening
70%173 patients4/55-star benchmark: 93%
Cervical Cancer Screening
40%144 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
8%248 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
56%364 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
61%302 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%137 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
46%137 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,276 patients4/55-star benchmark: 100%
e-Prescribing
100%213 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
80%289 patients4/55-star benchmark: 100%
HIV Screening
11%435 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
35%667 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
38%479 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%476 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 81% · 489 patients
Patients screened: 99% · 489 patients
46%162 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%283 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%290 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 7% · 271 patients
Patients totalRate: 17% · 271 patients
15%271 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 2

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

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims1,520 services$0.34 avg. paid by Medicare
Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard A6407
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims240 services$1.61 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 20

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

Pharmacist
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211
Dermatology
16000 JOHNSTON MEMORIAL DR, SUITE 101B
ABINGDON, VA 24211
Internal Medicine
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211
Physician Assistant
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211
Surgery
16000 JOHNSTON MEMORIAL DR, SUITE 101
ABINGDON, VA 24211
General Acute Care Hospital
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211
Urology
16000 JOHNSTON MEMORIAL DR, SUITE 312D
ABINGDON, VA 24211
Internal Medicine
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211

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 Matthew Dorn's NPI number?

The NPI number for Matthew Dorn is 1649477209. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Matthew Dorn located?

Matthew Dorn practices at 16000 Johnston Memorial Dr Suite 101, Abingdon, VA 24211. The listed phone number is (276) 258-1777.

What is Matthew Dorn's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Matthew Dorn enrolled in Medicare?

Yes. Matthew Dorn 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 Matthew Dorn accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Matthew Dorn 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 Matthew Dorn affiliated with any hospitals?

According to CMS data, Matthew Dorn is affiliated with Wellmont Bristol Regional Medical Center, Russell County Hospital, Smyth County Community Hospital and Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Dorn was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.