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MAGGIE KAYE MATTHEWS NP
NPI 1780239434
Nurse Practitioner - Family in Decatur, IL

Active since August 08, 2019PECOS EnrolledAccepts Medicare Assignment
67.18/100
CMS Quality Rating
2300 N EDWARD ST, DECATUR, IL 62526(217) 876-6456(217) 876-6485 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maggie Kaye Matthews Np NPPES

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

MAGGIE KAYE MATTHEWS NP (NPI 1780239434) is an individual family provider in Decatur, Illinois, licensed in Illinois (209019613) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1780239434
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAGGIE KAYE MATTHEWSCredential: NP
Location Address2300 N EDWARD STDecatur, IL 62526-4163
Mailing Address2300 N Edward StDecatur, IL 62526-4163 · (217) 876-6456 · Fax (217) 876-6485
Phone(217) 876-6456
Fax(217) 876-6485
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 8, 2019
✔ NPI 1780239434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209019613
2300 N EDWARD ST, Decatur, IL 62526
Open in Google Maps ↗

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

Maggie Kaye Matthews Np 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 ID5092045062
PECOS Enrollment IDI20190918002250
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 4

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.

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.
139 services97 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.
69 services62 patients
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.
36 services35 patients
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.
29 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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.

67.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.86
Improvement Activities40
Cost56.87

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.

CULLEN WHICKER CRNA
Nurse Anesthetist, Certified Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2575
MR. JASON GRAUER APRN
Nurse Practitioner (Family)
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-8121
DR. JEFFREY MARC BOORSTEIN MD
Radiology (Diagnostic Radiology)
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2300
PAUL GURLEY PA-C
Physician Assistant
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-3000
CHRISTINE W CUTLER MS RD LD/N
Dietitian, Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2281
JACLYN NICOLE KLEMAN
Physical Therapist
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2600
BRITTNEY L JEFFERY CRNA
Nurse Anesthetist, Certified Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2275
DR. DAVID JOSEPH EVELTI MD
Anesthesiology
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-8121

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 Maggie Matthews's NPI number?

The NPI number for Maggie Matthews is 1780239434. It was assigned to this individual provider in the NPPES registry on August 8, 2019.

Where is Maggie Matthews located?

Maggie Matthews practices at 2300 N Edward St, Decatur, IL 62526. The listed phone number is (217) 876-6456.

What is Maggie Matthews's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Maggie Matthews enrolled in Medicare?

Yes. Maggie Matthews 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 Maggie Matthews affiliated with any hospitals?

According to CMS data, Maggie Matthews is affiliated with Decatur Memorial Hospital and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Maggie Matthews was last updated on August 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.