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JOHN LOUIS MATHEWS M.D.
NPI 1689630188
Surgery in Birmingham, AL

Active since April 24, 2006PECOS Enrolled
917 TUSCALOOSA AVE SW, BIRMINGHAM, AL 35211(205) 780-7150(205) 783-9326 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John Louis Mathews M.d. NPPES

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

JOHN LOUIS MATHEWS M.D. (NPI 1689630188) is an individual surgery provider in Birmingham, Alabama, licensed in Alabama (8477) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689630188
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOHN LOUIS MATHEWSCredential: M.D.
Location Address917 TUSCALOOSA AVE SWBirmingham, AL 35211-1618
Mailing Address917 Tuscaloosa Ave SwBirmingham, AL 35211-1618 · (205) 780-7150 · Fax (205) 783-9326
Phone(205) 780-7150
Fax(205) 783-9326
Sole ProprietorYes
Enumeration DateApril 24, 2006
Last NPPES UpdateDecember 5, 2023
NPPES CertifiedDecember 5, 2023
✔ NPI 1689630188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AL · 8477
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.
917 TUSCALOOSA AVE SW, Birmingham, AL 35211
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Other Identifiers 2

Medicaid10325AL
Other51010325AL · Bc/bs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Louis Mathews M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show John Mathews reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Surgeons' Group, PC
Same address
Surgery
917 TUSCALOOSA AVE SW
Birmingham, AL 35211
  • Reassigned Medicare billing, Alabama enrollment
  • 3 clinicians in this Medicare group
NPI 1568428969 (205) 780-7150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35211 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%37 patients5/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
33%275 patients2/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%288 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
96%275 patients4/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%275 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
41%275 patients3/55-star benchmark: 59%
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 4

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

WINN HUTCHINSON MATHEWS M.D.
Surgery
917 TUSCALOOSA AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 780-7150
DR. DEE RODRICK DENSON M.D.
Obstetrics & Gynecology (Gynecology)
917 TUSCALOOSA AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 781-7123
THE SURGEONS' GROUP, PC
Surgery
917 TUSCALOOSA AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 780-7150
MRS. HEIDI LYNN DRAKE PA-C
Physician Assistant
917 TUSCALOOSA AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 783-9330

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 John Mathews's NPI number?

The NPI number for John Mathews is 1689630188. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is John Mathews located?

John Mathews practices at 917 Tuscaloosa Ave SW, Birmingham, AL 35211. The listed phone number is (205) 780-7150.

What is John Mathews's specialty?

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

Is John Mathews enrolled in Medicare?

Yes. John Mathews is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Mathews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Mathews reassigns Medicare benefits to The Surgeons' Group, PC (Birmingham, AL). The 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 John Mathews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Mathews was last updated on December 5, 2023. 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.