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JEFFREY MATHERNE MD
NPI 1851822035
Emergency Medicine in Charleston, WV

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
501 MORRIS ST, CHARLESTON, WV 25301(304) 388-6004(304) 388-3360 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Matherne Md NPPES

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

JEFFREY MATHERNE MD (NPI 1851822035) is an individual emergency medicine provider in Charleston, West Virginia, licensed in West Virginia (29757) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of West Virginia University School Of Medicine (2017).

NPPES Registry Identity

NPI1851822035
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJEFFREY MATHERNECredential: MD
Location Address501 MORRIS STCharleston, WV 25301-1326
Mailing Address1400 Hospital DrHurricane, WV 25526-9202 · (304) 757-1700
Phone(304) 388-6004
Fax(304) 388-3360
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 2017
Enumeration DateMarch 21, 2017
Last NPPES UpdateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1851822035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WV · 29757✔ Licensed in OH · 35.137051
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
501 MORRIS ST, Charleston, WV 25301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Jeffrey Matherne Md 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 ID1850728684
PECOS Enrollment IDI20200728002553
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
97 services93 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
50 services49 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.
22 services22 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

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 suppliers17 claims17 services$70.51 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 20

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

SANDRA R MILES CRNA, RN, BSN
Nurse Anesthetist, Certified Registered
501 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 388-5432
RAMON S LANSANG JR. MD
Rehabilitation Practitioner
501 MORRIS ST, CAMC GENERAL HOSPITAL
CHARLESTON, WV 25301
Kanawha County (304) 388-6301
DR. HUNTER NIELSEN DO
Emergency Medicine
501 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 388-5432
EDWARD ANDREW WOODS MD
Physical Medicine & Rehabilitation
501 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 388-6301
KELLY D WAYMAN CRNA
Nurse Anesthetist, Certified Registered
501 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 647-6006
BRETT PAUL ZAVADIL PA-C
Physician Assistant (Medical)
501 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 388-5432
MRS. MARY CATHERINE MARSH FNP-BC
Nurse Practitioner (Family)
501 MORRIS ST, CHARLESTON AREA MEDICAL CENTER, INC.
CHARLESTON, WV 25301
Kanawha County (304) 388-6140
ROGER TAYLOR DO
Emergency Medicine
501 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 647-6006

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 Jeffrey Matherne's NPI number?

The NPI number for Jeffrey Matherne is 1851822035. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Jeffrey Matherne located?

Jeffrey Matherne practices at 501 Morris St, Charleston, WV 25301. The listed phone number is (304) 388-6004.

What is Jeffrey Matherne's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jeffrey Matherne enrolled in Medicare?

Yes. Jeffrey Matherne 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 Jeffrey Matherne accept?

Health plans from CareSource list Jeffrey Matherne 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 Jeffrey Matherne affiliated with any hospitals?

According to CMS data, Jeffrey Matherne is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Matherne was last updated on August 31, 2021. 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.