Active NPI
Ryan Michael Mathern, MD
- Physical Medicine & Rehabilitation Physician
- Murrells Inlet, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 91310
- Practice address
- 3545 Highway 17 Unit 200
Murrells Inlet, SC 29576-5113 - Phone
- (843) 353-3460
- Fax
- (843) 353-3461
- NPI assigned
- Mar 22, 2019
- Last updated
- Jul 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | 91310 | SC | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | MD480729 | PA |
Addresses
Primary practice location
3545 Highway 17 Unit 200
Murrells Inlet, SC 29576-5113
Mailing address
1800 Lombard St FL 1
Philadelphia, PA 19146-1414
Other practice location 1
1800 Lombard St Fl 1
Philadelphia, PA 19146-1414
Phone (609) 471-5998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Cooper Medical School of Rowan University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3545 Hwy 17
Unit 200
Murrells Inlet, SC 29576-5113
Phone (843) 353-3460
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.91 of 100
- Quality
- 73.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.13
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD480729 | PA | MD | Physical Medicine & Rehabilitation Physician |
| 91310 | SC | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| Orthosc, LLC | Current | Accepting new patients | |
| Orthosc, LLC | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Orthosc, LLC | Past | Accepting new patients |
Locations
1800 Lombard St
Fl 1
Philadelphia, PA 19146
Phone (215) 893-2600
2376 Cypress Cir
Ste 300
Conway, SC 29526
Phone (843) 347-7222
3545 Highway 17
Unit 200
Murrells Inlet, SC 29576
Phone (843) 294-1941
210 Village Center Blvd
Ste 140
Myrtle Beach, SC 29579
Phone (843) 333-8385
3620 Walton Dr
Unit C5
Myrtle Beach, SC 29577
Interoperability endpoints
- https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4
- ryan.mathern.1@17161.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Orthopaedic Surgery Physician
- Conway, SC
- NPI 1275369787
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1952799074
-
- Orthopaedic Surgery Physician
- North Myrtle Beach, SC
- NPI 1568100691
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tidelands Health Skilled Care
- Skilled Nursing Facility
- Georgetown, SC
- NPI 1881307056
Hospital
-
dba Tidelands Georgetown Memorial Hospital
- General Acute Care Hospital
- Georgetown, SC
- NPI 1982604021
-
dba Tidelands Waccamaw Community Hospital
- General Acute Care Hospital
- Murrells Inlet, SC
- NPI 1972503910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1336609718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 LOMBARD ST FL 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191461414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 HIGHWAY 17 UNIT 200",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295765113",
"telephone_number": "843-353-3460",
"fax_number": "843-353-3461"
}
],
"practiceLocations": [
{
"address_1": "1800 Lombard St Fl 1",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191461414",
"country_code": "US",
"telephone_number": "609-471-5998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHERN",
"first_name": "RYAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-22",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "SC",
"license": "91310",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD480729",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.