Jeffrey David Matthes, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

63689 Issued in TN

Practice address

1400 Dowell Springs Blvd Ste 200
Knoxville, TN 37909-2457

Phone

(865) 584-0291

Fax

(865) 584-4426

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NE, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

University of Nebraska College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kamilia F KozlowskiGroup PAC ID 2860429099, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

65 of 100Reported as group

Quality

30

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kamilia F Kozlowski

  • Multi-Specialty Clinic/Center
  • Knoxville, TN
  • NPI 1790708030

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Lincoln Radiology Group PC

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1275587602
  Medicare reassignment NPD
• Lincoln Radiology LLC

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1871653568
  NPD (past)
• Mid-Columbia Medical Center

  • Rural Health Clinic/Center
  • The Dalles, OR
  • NPI 1154351336
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1508804782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7239",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370239",
            "telephone_number": "402-489-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DOWELL SPRINGS BLVD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092457",
            "telephone_number": "865-584-0291",
            "fax_number": "865-584-4426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7121 Stephanie Ln",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685165359",
            "country_code": "US",
            "telephone_number": "402-420-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHES",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "63689",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "17529",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100146450A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7787070",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0521013",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300029831",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q072920",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel H Mathis, M.D.
• Sarah R Mathis, RD
• Brandi K Matson, LPC
• Chet Thomas Matsuura, DMD
• Karla J Matteson, PHD
• Abigail Leighann Matthews
• Ashley Victoria Matthews, RPH
• Ellen Matthews, PA
• Lisa Orient Matthews, LPC-MHSP
• Jameson Kyle Mattingly, M.D.

• Diagnostic Radiology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.

Verify at the official NPI Registry.