Shawn Mathews, M.D.
NPI 1043341043 · Otolaryngology Physician · Lagrange, GA
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shawn Mathews, M.D. is a Otolaryngology Physician provider in Lagrange, GA (NPI 1043341043).
Provider details
- NPI number
- 1043341043
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 079724 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
640 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 220 | $122 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 120 | $161 |
| Removal of Impacted Ear Wax69210 | 114 | $44 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 99 | $87 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 70 | $119 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 34 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levocetirizine Dihydrochloride | 461 | 152 |
| Famotidine | 299 | 98 |
| Azelastine Hcl | 269 | 136 |
| Fluticasone Propionate | 211 | 109 |
| Ipratropium Bromide | 148 | 52 |
| Montelukast Sodium | 133 | 42 |
| Omeprazole | 64 | 25 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$53 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2024-04-01
- Certified
- 2024-04-01
Frequently asked questions
- What is Shawn Mathews's NPI number?
- Shawn Mathews's National Provider Identifier (NPI) is 1043341043, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shawn Mathews's specialty?
- Shawn Mathews is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Shawn Mathews located?
- Shawn Mathews's practice location on file with NPPES is 300 Medical Dr Ste 705, Lagrange, GA 30240-4130.
- What is Shawn Mathews's phone number?
- The practice phone number listed in the NPPES registry for Shawn Mathews is (706) 803-7960.
- Does Shawn Mathews accept Medicare?
- Shawn Mathews is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shawn Mathews's NPI active?
- Yes — Shawn Mathews's NPI (1043341043) is active in the NPPES registry as of the last update on 2024-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.