MR. SIMON C MATHEWS MD
NPI 1689815656
Internal Medicine - Gastroenterology in Gettysburg, PA

Active since March 20, 2009PECOS EnrolledAccepts Medicare Assignment
74.39/100
CMS Quality Rating
37 N 5TH ST, GETTYSBURG, PA 17325(717) 339-3125(717) 334-3125 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Simon C Mathews Md NPPES

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

MR. SIMON C MATHEWS MD (NPI 1689815656) is an individual gastroenterology provider in Gettysburg, Pennsylvania, licensed in Pennsylvania (MD483120) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1689815656
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMR. SIMON C MATHEWSCredential: MD
Location Address37 N 5TH STGettysburg, PA 17325-2004
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405
Fax(717) 334-3125
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 20, 2009
Last NPPES UpdateOctober 26, 2023
NPPES CertifiedOctober 26, 2023
NPI 1689815656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in PA · MD483120
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License UMPS1 (MD)
37 N 5TH ST, Gettysburg, PA 17325

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

Mr. Simon C Mathews 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 ID6305096090
PECOS Enrollment IDI20231109000520
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 5

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 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.
39 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 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.
17 services17 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
16 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17325 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Gastroenterology)
37 N 5TH ST
GETTYSBURG, PA 17325
Internal Medicine (Gastroenterology)
37 N 5TH ST
GETTYSBURG, PA 17325
Surgery
37 N 5TH ST
GETTYSBURG, PA 17325
Physician Assistant (Medical)
37 N 5TH ST
GETTYSBURG, PA 17325
Internal Medicine (Gastroenterology)
37 N 5TH ST
GETTYSBURG, PA 17325
Nurse Practitioner (Family)
37 N 5TH ST
GETTYSBURG, PA 17325

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 Simon Mathews's NPI number?

The NPI number for Simon Mathews is 1689815656. It was assigned to this individual provider in the NPPES registry on March 20, 2009.

Where is Simon Mathews located?

Simon Mathews practices at 37 N 5th St, Gettysburg, PA 17325. The listed phone number is (717) 339-3125.

What is Simon Mathews's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Simon Mathews enrolled in Medicare?

Yes. Simon Mathews 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.

Is Simon Mathews affiliated with any hospitals?

According to CMS data, Simon Mathews is affiliated with Wellspan York Hospital, Gettysburg Hospital and Upmc Memorial.

When was this NPI record last updated?

The NPPES record for Simon Mathews was last updated on October 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.