DR. JOSE MATHEW DO, MPH
NPI 1861654659
Physical Medicine & Rehabilitation - Pain Medicine in Lawrenceville, GA

Active since July 02, 2008PECOS Enrolled
75/100
CMS Quality Rating
455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046(770) 962-3642(770) 962-3643 Get Directions Write a Review

NPPES record last updated: January 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jose Mathew Do, Mph NPPES

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

DR. JOSE MATHEW DO, MPH (NPI 1861654659) is an individual pain medicine provider in Lawrenceville, Georgia, licensed in Georgia (66218) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1861654659
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameDR. JOSE MATHEWCredential: DO, MPH
Location Address455 PHILIP BLVD STE 140Lawrenceville, GA 30046-8768
Mailing Address455 Philip Blvd Ste 140Lawrenceville, GA 30046-8768 · (770) 962-3642 · Fax (770) 962-3643
Fax(770) 962-3643
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 2, 2008
Last NPPES UpdateJanuary 5, 2018
NPI 1861654659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License Licensed in GA · 66218
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
455 PHILIP BLVD STE 140, Lawrenceville, GA 30046

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jose Mathew Do, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810176047
PECOS Enrollment IDI20120111000971
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 17

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
700 services220 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
176 services115 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
123 services93 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.
88 services67 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
64 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients

Hospital Affiliations CMS Care Compare 4

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Nurse Practitioner (Family)
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046
Pain Medicine (Interventional Pain Medicine)
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046
Anesthesiology (Pain Medicine)
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046
Family Medicine
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046
Pain Medicine (Pain Medicine)
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046
Anesthesiology
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046
Physical Medicine & Rehabilitation
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046

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 Jose Mathew's NPI number?

The NPI number for Jose Mathew is 1861654659. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Jose Mathew located?

Jose Mathew practices at 455 Philip Blvd Ste 140, Lawrenceville, GA 30046. The listed phone number is (770) 962-3642.

What is Jose Mathew's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Jose Mathew enrolled in Medicare?

Yes. Jose Mathew is registered in the Medicare PECOS enrollment system.

What insurance does Jose Mathew accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Jose Mathew 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 Jose Mathew affiliated with any hospitals?

According to CMS data, Jose Mathew is affiliated with Emory Decatur Hospital, Northside Hospital, Emory Hillandale Hospital and Mercy Health-St Rita's Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Mathew was last updated on January 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.