Craig Matherne, MD
NPI 1215965710 · Family Medicine Physician · Johnson City, TN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Craig Matherne, MD is a Family Medicine Physician provider in Johnson City, TN (NPI 1215965710).
Provider details
- NPI number
- 1215965710
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 30967 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
2,738 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 454 | $116 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 412 | $9 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test85027 | 242 | $6 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 205 | $10 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 194 | $13 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 153 | $117 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 145 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 740 | 176 |
| Levothyroxine Sodium | 425 | 95 |
| Lisinopril | 418 | 106 |
| Hydrochlorothiazide | 416 | 99 |
| Omeprazole | 354 | 100 |
| Rosuvastatin Calcium | 348 | 109 |
| Amlodipine Besylate |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2025-02-20
- Certified
- 2025-02-20
Frequently asked questions
- What is Craig Matherne's NPI number?
- Craig Matherne's National Provider Identifier (NPI) is 1215965710, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Craig Matherne's specialty?
- Craig Matherne is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Craig Matherne located?
- Craig Matherne's practice location on file with NPPES is 301 Med Tech Pkwy, Johnson City, TN 37604.
- What is Craig Matherne's phone number?
- The practice phone number listed in the NPPES registry for Craig Matherne is (423) 794-5520.
- Does Craig Matherne accept Medicare?
- Craig Matherne is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Craig Matherne's NPI active?
- Yes — Craig Matherne's NPI (1215965710) is active in the NPPES registry as of the last update on 2025-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.