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KATHLEEN MATTHEWS MD
NPI 1831620921
Pediatrics in Durham, NC

Active since March 21, 2017PECOS Enrolled
1301 FAYETTEVILLE ST, DURHAM, NC 27707(919) 956-4000(919) 956-3824 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 14, 2022, Aug 30, 2022, Mar 21, 2017 (3 updates tracked since 2017).

About Kathleen Matthews Md NPPES

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

KATHLEEN MATTHEWS MD (NPI 1831620921) is an individual pediatrics provider in Durham, North Carolina, licensed in North Carolina (2020-03644) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831620921
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKATHLEEN MATTHEWSCredential: MD
Location Address1301 FAYETTEVILLE STDurham, NC 27707-2325
Mailing Address13001 E 17th Pl, University Of Colorado School Of Medicine GmeAurora, CO 80045-2570 · (720) 777-3846
Phone(919) 956-4000
Fax(919) 956-3824
Sole ProprietorNo
Enumeration DateMarch 21, 2017
Last NPPES UpdateSeptember 14, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
✔ NPI 1831620921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2020-03644
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1301 FAYETTEVILLE ST, Durham, NC 27707
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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)

Kathleen 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 Kathleen Matthews reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lincoln Community Health Center Incorporated
Same address
Federally Qualified Health Center (FQHC)
1301 FAYETTEVILLE ST
Durham, NC 27707
  • Reassigned Medicare billing, North Carolina enrollment
  • 66 clinicians in this Medicare group
NPI 1114978582 (919) 956-4000

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 27707 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

ZHONGFEI LIANG DDS
Dentist (General Practice)
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4034
VERONICA ACEVEDO PA-C
Physician Assistant
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
TIFFANY A THIEKEN
Nurse Practitioner (Pediatrics)
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
ANDREA FLORES MD
Family Medicine
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
RAJEEV KUMAR BAIS M.D.
Internal Medicine
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
DR. JULIANA MILLER HODGES DNP, RN, CPNP-PC
Nurse Practitioner (Pediatrics)
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4074
ERICA C FRIEDMAN PAC
Physician Assistant
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
NEYSA S HEYWARD M.D.
Pediatrics
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000

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 Kathleen Matthews's NPI number?

The NPI number for Kathleen Matthews is 1831620921. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Kathleen Matthews located?

Kathleen Matthews practices at 1301 Fayetteville St, Durham, NC 27707. The listed phone number is (919) 956-4000.

What is Kathleen Matthews's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kathleen Matthews enrolled in Medicare?

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

Which organization bills Medicare for Kathleen Matthews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Matthews reassigns Medicare benefits to Lincoln Community Health Center Incorporated (Durham, 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 Kathleen Matthews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Matthews accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Kathleen 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 Kathleen Matthews was last updated on September 14, 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.