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JESSE MATHERLY MD
NPI 1699302885
Psychiatry & Neurology - Psychiatry in Lexington, KY

Active since March 26, 2020PECOS Enrolled
245 FOUNTAIN CT, LEXINGTON, KY 40509(859) 323-6021(859) 323-1670 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2025, Aug 31, 2023, Mar 26, 2020 (3 updates tracked since 2020).

About Jesse Matherly Md NPPES

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

JESSE MATHERLY MD (NPI 1699302885) is an individual psychiatry provider in Lexington, Kentucky, licensed in Kentucky (58142) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699302885
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJESSE MATHERLYCredential: MD
Location Address245 FOUNTAIN CTLexington, KY 40509-2792
Mailing Address245 Fountain CtLexington, KY 40509-1888 · (859) 323-6021 · Fax (859) 323-1670
Phone(859) 323-6021
Fax(859) 323-1670
Sole ProprietorNo
Enumeration DateMarch 26, 2020
Last NPPES UpdateJune 9, 20253 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1699302885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in KY · 58142
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 58142 (KY)
245 FOUNTAIN CT, Lexington, KY 40509
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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 (PECOS)

Jesse Matherly Md 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 Reassignments

2

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

Kentucky Medical Services Foundation, Inc
1.6 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910
University Of Kentucky
4.0 mi
Adult Medicine
217 ELM TREE LN
Lexington, KY 40507
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1881641769 (859) 257-7920

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 40509 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

JACOB A BISHOP MD
Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 323-6861
ADAM JEFFERY CLARK MD
Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 323-6021
JESSICA LIENESCH MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 323-6021
MACKENZIE NICOLE GRAEBE MD
Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (858) 323-6021
JESSICA SORRELL LPCC
Counselor (Professional)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 323-6021
SHARON TURPIN M.S.
Psychologist (Clinical)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 323-6021
DANIELLE MARIE ANDERSON M.D.
Family Medicine
245 FOUNTAIN CT, STE 225
LEXINGTON, KY 40509
Fayette County (859) 323-6021
AMY LYNN MEADOWS M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
245 FOUNTAIN CT, SUITE 225
LEXINGTON, KY 40509
Fayette County (859) 323-6021

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 Jesse Matherly's NPI number?

The NPI number for Jesse Matherly is 1699302885. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Jesse Matherly located?

Jesse Matherly practices at 245 Fountain Ct, Lexington, KY 40509. The listed phone number is (859) 323-6021.

What is Jesse Matherly's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jesse Matherly enrolled in Medicare?

Yes. Jesse Matherly is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jesse Matherly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Matherly reassigns Medicare benefits to 2 organizations: Kentucky Medical Services Foundation, Inc (Lexington, KY) and University Of Kentucky (Lexington, KY). 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 Jesse Matherly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jesse Matherly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Jesse Matherly 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 Jesse Matherly was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.