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JAMES AUSTIN MATTHEWS MD
NPI 1811166382
Obstetrics & Gynecology in Charlotte, NC

Active since February 28, 2008PECOS Enrolled
95.35/100
CMS Quality Rating
10628 PARK RD, CHARLOTTE, NC 28210(704) 667-1000 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 42 more (45 updates tracked since 2019).

About James Austin Matthews Md NPPES

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

JAMES AUSTIN MATTHEWS MD (NPI 1811166382) is an individual obstetrics & gynecology provider in Charlotte, North Carolina, licensed in North Carolina (29006) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1811166382
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJAMES AUSTIN MATTHEWSCredential: MD
Location Address10628 PARK RDCharlotte, NC 28210-8407
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 667-1000
Sole ProprietorNo
Enumeration DateFebruary 28, 2008
Last NPPES UpdateJuly 15, 202445 updates tracked since enumeration
✔ NPI 1811166382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 29006
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedHospitalistTaxonomy 208M00000X · License 29006 (NC)
10628 PARK RD, Charlotte, NC 28210
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11025 Morehead Medical Dr, Ste 500 FL 5Charlotte, NC 28204-2963 · Phone (704) 355-3149
Location 2101 E W T Harris Blvd, Ste 2320Charlotte, NC 28262-3485 · Phone (704) 547-0858
Location 37810 Providence Rd, Ste 105Charlotte, NC 28226-2954 · Phone (704) 446-7800
Location 41025 Morehead Medical Dr, Ste 450Charlotte, NC 28204-2963 · Phone (704) 446-7800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Austin Matthews 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 Reassignment

Medicare enrollment records show James Matthews reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinas Physicians Network Inc
Same address
Hospitalist
10628 PARK RD
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1548876923 (North Carolina)
  • 1,646 clinicians in this Medicare group
NPI 1093038887 (704) 667-7070

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 28210 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

DR. RICHARD RALPH PAGANO MD
Anesthesiology
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
BENJAMIN JOEL ROBERTS CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
MR. GREGORY A DUGGAN CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
NGOC BAO NGUYEN PA
Physician Assistant
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-7070
CHERYL SPEIGHT MASTROIANNI CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
REAGAN FRANCES NORVELL
Physician Assistant
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 446-6810
DR. LINDA J. MATTHEWS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 973-5500
KAY HUFFSTETLER BARBERA CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000

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 James Matthews's NPI number?

The NPI number for James Matthews is 1811166382. It was assigned to this individual provider in the NPPES registry on February 28, 2008.

Where is James Matthews located?

James Matthews practices at 10628 Park Rd, Charlotte, NC 28210. The listed phone number is (704) 667-1000.

What is James Matthews's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Matthews enrolled in Medicare?

Yes. James Matthews is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Matthews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Matthews reassigns Medicare benefits to Carolinas Physicians Network Inc (Charlotte, NC). 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 James Matthews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Matthews accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list James Matthews 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 James Matthews was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.