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DR. FRANCISCO ANTONIO MATHEUS MD
NPI 1922158310
Internal Medicine in Silver Spring, MD

Active since January 10, 2007PECOS EnrolledCLIA 21D0894059 · Microscopy
13018 GEORGIA AVE, SILVER SPRING, MD 20906(301) 942-7100(301) 933-2659 Get Directions Write a Review

NPPES record last updated: January 9, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Francisco Antonio Matheus Md NPPES

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

DR. FRANCISCO ANTONIO MATHEUS MD (NPI 1922158310) is an individual internal medicine provider in Silver Spring, Maryland, licensed in Maryland (D41460) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through January 2, 2028, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1922158310
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. FRANCISCO ANTONIO MATHEUSCredential: MD
Location Address13018 GEORGIA AVESilver Spring, MD 20906-5330
Mailing Address13018 Georgia AveSilver Spring, MD 20906-5330 · (301) 942-7100 · Fax (301) 933-2659
Phone(301) 942-7100
Fax(301) 933-2659
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJanuary 9, 2009
✔ NPI 1922158310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D41460
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.
13018 GEORGIA AVE, Silver Spring, MD 20906
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Other Identifiers 5

Medicare UPINE43089MD
Medicaid414982300MD
Medicare UPING02716DC
Medicare ID-Type Unspecified722029
Medicaid348591900MD

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. Francisco Antonio Matheus Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284714866
PECOS Enrollment IDI20080303000368
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D0894059

Francisco A Matheus MD · Wheaton, MD
Active · expires Jan 2, 2028
CLIA Number21D0894059
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorMatheus A. Matheus MD
Laboratory Phone(301) 942-7100
Laboratory LocationFrancisco A Matheus MD13018 Georgia Avenue, Wheaton, MD 20906
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 5

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 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.
120 services70 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
99 services71 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
40 services40 patients
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.
33 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20906 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers18 claims51 services$6.70 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers18 claims26 services$1.06 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

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

FRANCISCO MATHEUS, MD, P.C.
Internal Medicine
13018 GEORGIA AVE
SILVER SPRING, MD 20906
Montgomery County (301) 942-7100

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 Francisco Matheus's NPI number?

The NPI number for Francisco Matheus is 1922158310. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Francisco Matheus located?

Francisco Matheus practices at 13018 Georgia Ave, Silver Spring, MD 20906. The listed phone number is (301) 942-7100.

What is Francisco Matheus's specialty?

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

Is Francisco Matheus enrolled in Medicare?

Yes. Francisco Matheus is registered in the Medicare PECOS enrollment system.

Does Francisco Matheus hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0894059) is associated with this NPI, valid through January 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Francisco Matheus was last updated on January 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.