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JOHN MARK MATTHEWS MD
NPI 1891754057
Internal Medicine in Tupelo, MS

Active since March 17, 2006PECOS Enrolled
93.1/100
CMS Quality Rating
845 S MADISON ST, TUPELO, MS 38801(662) 377-5930(662) 377-5085 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Mark Matthews Md NPPES

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

JOHN MARK MATTHEWS MD (NPI 1891754057) is an individual internal medicine provider in Tupelo, Mississippi, licensed in Mississippi (11053) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891754057
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN MARK MATTHEWSCredential: MD
Location Address845 S MADISON STTupelo, MS 38801-4905
Mailing Address830 S Gloster StTupelo, MS 38801-4934 · (662) 377-5930 · Fax (662) 377-5085
Phone(662) 377-5930
Fax(662) 377-5085
Sole ProprietorNo
Enumeration DateMarch 17, 2006
Last NPPES UpdateApril 18, 2016
✔ NPI 1891754057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 11053
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
845 S MADISON ST, Tupelo, MS 38801
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Other Identifiers 3

Medicaid00115013MS
Medicare UPIND73543MS
Medicare PIN110001074MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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)

John Mark 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.

Areas of Expertise CMS Part B claims 2

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.

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.
407 services396 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.
50 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims338 services$3.76 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims3,718 services$0.25 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.

VERNON A RAYFORD M.D.
Internal Medicine
845 S MADISON ST
TUPELO, MS 38801
Lee County (662) 377-5930
MS. PAT L CUMMINGS LCSW
Social Worker (Clinical)
845 S MADISON ST
TUPELO, MS 38801
Lee County (662) 377-1155
NORTH MISSISSIPPI MEDICAL CLINICS, INC
Internal Medicine (Rheumatology)
845 S MADISON ST, SUITE B
TUPELO, MS 38801
Lee County (662) 377-4685
DR. ASHLEY WAYNE HARRIS M.D.
Family Medicine (Geriatric Medicine)
845 S MADISON ST
TUPELO, MS 38801
Lee County (662) 377-5930
DR. PARVESH PAUL MBBS, MD
Student in an Organized Health Care Education/Training Program
845 S MADISON ST
TUPELO, MS 38801
Lee County (662) 377-1100
REBECCA ERIN COWART FNP-BC
Nurse Practitioner
845 S MADISON ST
TUPELO, MS 38801
Lee County (662) 377-3000
DR. RONALD BRADLEY CROSSWHITE M.D.
Family Medicine
845 S MADISON ST
TUPELO, MS 38801
Lee County (662) 377-5930
NORTH MISSISSIPPI MEDICAL CENTER, INC.
Internal Medicine
845 S MADISON ST
TUPELO, MS 38801
Lee County (662) 377-1100

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 John Matthews's NPI number?

The NPI number for John Matthews is 1891754057. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is John Matthews located?

John Matthews practices at 845 S Madison St, Tupelo, MS 38801. The listed phone number is (662) 377-5930.

What is John Matthews's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Matthews enrolled in Medicare?

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

What insurance does John Matthews accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list John 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 John Matthews was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.