THOMAS C MATTHEWS MD
NPI 1942415153
Surgery in Johns Creek, GA

Active since May 11, 2007PECOS EnrolledAccepts Medicare Assignment
80.61/100
CMS Quality Rating
6300 HOSPITAL PKWY STE 375, NORTH ATLANTA VASCULAR CLINIC, JOHNS CREEK, GA 30097(770) 771-5260(770) 771-5269 Get Directions Write a Review

NPPES record last updated: September 6, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Thomas C Matthews Md NPPES

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

THOMAS C MATTHEWS MD (NPI 1942415153) is an individual surgery provider in Johns Creek, Georgia, licensed in Georgia (075295) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of University Of Alabama School Of Medicine (2004).

NPPES Registry Identity

NPI1942415153
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTHOMAS C MATTHEWSCredential: MD
Location Address6300 HOSPITAL PKWY STE 375, NORTH ATLANTA VASCULAR CLINICJohns Creek, GA 30097-2461
Mailing Address6300 Hospital Pkwy Ste 375, North Atlanta Vascular ClinicJohns Creek, GA 30097-2461 · (770) 771-5260 · Fax (770) 771-5269
Fax(770) 771-5269
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2004
Enumeration DateMay 11, 2007
Last NPPES UpdateSeptember 6, 2016
NPI 1942415153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in GA · 075295 Licensed in AL · 27103
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 075295 (GA)
6300 HOSPITAL PKWY STE 375, Johns Creek, GA 30097

Other Identifiers 10

Medicaid128789AL
Medicaid128787AL
Medicaid00389731MS
Other051116984AL · Bcbs
Medicaid003176992AGA
Medicare PIN202I029726GA
Other051116981AL · Bcbs
Medicaid128788AL
Medicare PIN102I774679AL
Other051116986AL · Bcbs

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 and accepts Medicare assignment

Thomas C Matthews 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 ID2769660158
PECOS Enrollment IDI20160726001073
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 25

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.

Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
225 services210 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
119 services97 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
101 services86 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
91 services86 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
55 services42 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
52 services51 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30097 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

80.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality64.99
Promoting Interoperability92
Improvement Activities40

Reported Quality Measures

Advance Care Plan
93%475 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
63%251 patients3/55-star benchmark: 98%
Coronary Artery Disease (CAD): Antiplatelet Therapy
89%111 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%351 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
47%189 patients2/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%488 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Obstetrics & Gynecology
6300 HOSPITAL PKWY STE 375
JOHNS CREEK, GA 30097
Surgery (Vascular Surgery)
6300 HOSPITAL PKWY STE 375
JOHNS CREEK, GA 30097
Surgery (Vascular Surgery)
6300 HOSPITAL PKWY STE 375
JOHNS CREEK, GA 30097

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 Thomas Matthews's NPI number?

The NPI number for Thomas Matthews is 1942415153. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Thomas Matthews located?

Thomas Matthews practices at 6300 Hospital Pkwy Ste 375 North Atlanta Vascular Clinic, Johns Creek, GA 30097. The listed phone number is (770) 771-5260.

What is Thomas Matthews's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Thomas Matthews enrolled in Medicare?

Yes. Thomas Matthews 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 Thomas Matthews accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Thomas 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.

Is Thomas Matthews affiliated with any hospitals?

According to CMS data, Thomas Matthews is affiliated with Northside Hospital Forsyth, Union General Hospital and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Matthews was last updated on September 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.