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JASON D MATHEWS APN
NPI 1760922397
Nurse Practitioner in Mattoon, IL

Active since March 01, 2017PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
1005 HEALTH CENTER DR, MATTOON, IL 61938(217) 258-4051(217) 258-4063 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2022, Sep 25, 2018, Jun 2, 2017 and 1 more (4 updates tracked since 2017).

About Jason D Mathews Apn NPPES

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

JASON D MATHEWS APN (NPI 1760922397) is an individual nurse practitioner in Mattoon, Illinois, licensed in Illinois (209015694) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains a secondary practice location in Mattoon.

NPPES Registry Identity

NPI1760922397
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJASON D MATHEWSCredential: APN
Location Address1005 HEALTH CENTER DRMattoon, IL 61938-4693
Mailing Address1005 Health Center Dr Ste 201Mattoon, IL 61938-4693 · (217) 238-6055
Phone(217) 258-4051
Fax(217) 258-4063
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 1, 2017
Last NPPES UpdateSeptember 19, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1760922397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209015694
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedHospitalistTaxonomy 208M00000X · License 209-015694 (IL)
1005 HEALTH CENTER DR, Mattoon, IL 61938
Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 Health Center DrMattoon, IL 61938-4644 · Phone (217) 238-4325 · Fax (217) 348-4290

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason D Mathews Apn 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 ID6507135696
PECOS Enrollment IDI20170705002476
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 Jason Mathews reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sarah Bush Lincoln Health Center
0.1 mi
Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group
NPI 1568581379 (217) 258-2525

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

Areas of Expertise CMS Part B claims 6

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
236 services219 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
62 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
54 services42 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.
44 services30 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.
41 services40 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services24 patients

Hospital Affiliations CMS Care Compare

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers21 claims21 services$20.36 avg. paid by Medicare
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 suppliers29 claims29 services$111.54 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 4

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

LINDSEY RICHTER RD
Dietitian, Registered
1005 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-2552
ANGELA MARIE BRUMLEVE APRN
Nurse Practitioner (Family)
1005 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-2581
MS. JENNIFER OGLE MSW
Social Worker
1005 HEALTH CENTER DR, SUITE 101
MATTOON, IL 61938
Coles County (217) 238-4866
MICHELLE M MATHEWS APN
Nurse Practitioner
1005 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-4051

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 Jason Mathews's NPI number?

The NPI number for Jason Mathews is 1760922397. It was assigned to this individual provider in the NPPES registry on March 1, 2017.

Where is Jason Mathews located?

Jason Mathews practices at 1005 Health Center Dr, Mattoon, IL 61938. The listed phone number is (217) 258-4051.

What is Jason Mathews's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jason Mathews enrolled in Medicare?

Yes. Jason 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.

Which organization bills Medicare for Jason Mathews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Mathews reassigns Medicare benefits to Sarah Bush Lincoln Health Center (Mattoon, IL). 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 Jason Mathews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Mathews accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jason Mathews 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 Jason Mathews affiliated with any hospitals?

According to CMS data, Jason Mathews is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Jason Mathews was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.