NPIMap

Individual provider Active NPI

Elizabeth L Matera, MD

  • Family Medicine Physician
  • Olive Hill, KY
National Provider Identifier
1346532918
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47594 Issued in KY
Practice address
155 Bricklayer Street
Olive Hill, KY 41164
Phone
(606) 286-4152
Fax
(606) 286-2385
NPI assigned
May 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47594 KY Primary
Student in an Organized Health Care Education/Training Program 390200000X 58997 WI

Addresses

Primary practice location

155 Bricklayer Street
Olive Hill, KY 41164

Mailing address

PO Box 1268
Olive Hill, KY 41164-1268
Phone (606) 286-4152

Other identifiers 2

IdentifierTypeStateIssuer
47594OtherKYKY MEDICAL LICENSE
7100313530MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141229002209 KY Practitioner - Family Practice 4587987466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians

Practice addresses (Care Compare)

155 Bricklayer St
Olive Hill, KY 41164-1268
Phone (606) 286-4152

Hospital & facility affiliations

  • St Claire Medical Center Home Health Home health agency, Morehead, KY, CCN 187037
  • St Claire Regional Medical Center Hospital, Morehead, KY, CCN 180018
  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

Merit-based Incentive Payment System (MIPS)

Final score
73.64 of 100Reported as group
Quality
56.63
Improvement activities
40
Cost
74.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47594KYMDFamily Medicine Physician
58997WIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Kentucky PSC CurrentSince May 25, 2016 Accepting new patients
St Claire Medical Center, Inc., Family Medicine Current Accepting new patients
St. Claire Medical Center, Inc Current Accepting new patients
St. Claire Medical Center,Inc Current Accepting new patients
St. Claire Medical Center, Inc Current Accepting new patients
St. Claire Medical Center,Inc CurrentSince Oct 14, 2014 Accepting new patients
St Claire Medical Center, Inc Current Accepting new patients
St Claire Medical Center, Inc CurrentSince Oct 14, 2014 Accepting new patients
St. Claire Medical Center, Inc Family Medicine Current Accepting new patients
St. Claire Medical Center, Inc Family Medicine Current Accepting new patients
St. Claire Medical Center, Inc Past Accepting new patients
St Claire Medical Center Inc Past Accepting new patients

Locations

732 Highway 36
Frenchburg, KY 40322
Phone (606) 768-2191

255 Old Viking Dr
Morehead, KY 40351
Phone (606) 784-2774

245 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 780-5500

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

316 W 2nd St
Morehead, KY 40351
Phone (606) 783-6400

632 Slate Ave
Owingsville, KY 40360
Phone (606) 674-6386

390 S Ky 7
Sandy Hook, KY 41171
Phone (606) 738-5155

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1346532918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1268",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "411641268",
            "telephone_number": "606-286-4152",
            "fax_number": "606-286-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BRICKLAYER STREET",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "41164",
            "telephone_number": "606-286-4152",
            "fax_number": "606-286-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATERA",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "47594",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WI",
            "license": "58997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAL LICENSE",
            "identifier": "47594",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100313530",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Hill, KY

Sources for this page

Verify at the official NPI Registry.