DR. LAWRENCE J MATHERS M.D.
NPI 1699745976
Family Medicine in Newport, TN

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
229 HEDRICK DR, NEWPORT, TN 37821(423) 623-1057(423) 625-8620 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lawrence J Mathers M.d. NPPES

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

DR. LAWRENCE J MATHERS M.D. (NPI 1699745976) is an individual family medicine provider in Newport, Tennessee, licensed in Tennessee (MD37301) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Tennova Healthcare - Newport Medical Center, and is a graduate of University Of Pittsburgh School Of Medicine (2000).

NPPES Registry Identity

NPI1699745976
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LAWRENCE J MATHERSCredential: M.D.
Location Address229 HEDRICK DRNewport, TN 37821-2902
Mailing Address229 Hedrick DrNewport, TN 37821-2902 · (423) 623-1057 · Fax (423) 625-8620
Fax(423) 625-8620
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2000
Enumeration DateJanuary 26, 2006
Last NPPES UpdateNovember 14, 2014
NPI 1699745976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · MD37301
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
229 HEDRICK DR, Newport, TN 37821

Other Identifiers 13

Medicare UPINH45687
Medicare PIN3886127
Other4070939TN · Bluecare-newport
Other4071763TN · Bcbst
Other4071787TN · Bcbst
Other4071792TN · Bcbst
Medicare PIN3886128
Medicaid3886126TN
Other100043255TN · Php Tenncare
Medicare PIN3886125
Medicare PIN3886126
Other4071754TN · Bcbst
Medicare PIN3886129

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

Dr. Lawrence J Mathers M.d. 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 ID2264423805
PECOS Enrollment IDI20040521000332
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.

Hospital Affiliations CMS Care Compare

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

Tennova Healthcare - Newport Medical Center

Acute Care Hospitals · Newport, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440153
Location435 2nd StNewport, TN 37821 · Cocke County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37821 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$109.27 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 8

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

Family Medicine
229 HEDRICK DR
NEWPORT, TN 37821
Nurse Practitioner
229 HEDRICK DR
NEWPORT, TN 37821
Nurse Practitioner
229 HEDRICK DR
NEWPORT, TN 37821
Marriage & Family Therapist
229 HEDRICK DR
NEWPORT, TN 37821
Nurse Practitioner
229 HEDRICK DR
NEWPORT, TN 37821
Nurse Practitioner
229 HEDRICK DR
NEWPORT, TN 37821
Nurse Practitioner (Family)
229 HEDRICK DR
NEWPORT, TN 37821
Nurse Practitioner (Family)
229 HEDRICK DR
NEWPORT, TN 37821

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 Lawrence Mathers's NPI number?

The NPI number for Lawrence Mathers is 1699745976. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Lawrence Mathers located?

Lawrence Mathers practices at 229 Hedrick Dr, Newport, TN 37821. The listed phone number is (423) 623-1057.

What is Lawrence Mathers's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lawrence Mathers enrolled in Medicare?

Yes. Lawrence Mathers 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 Lawrence Mathers 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 Lawrence Mathers 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 Lawrence Mathers affiliated with any hospitals?

According to CMS data, Lawrence Mathers is affiliated with Tennova Healthcare - Newport Medical Center.

When was this NPI record last updated?

The NPPES record for Lawrence Mathers was last updated on November 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.