Scott Matherly, M.D.
NPI 1225171234 · Gastroenterology Physician · Richmond, VA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Scott Matherly, M.D. is a Gastroenterology Physician provider in Richmond, VA (NPI 1225171234).
Provider details
- NPI number
- 1225171234
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101249186 (VA)
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
452 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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 81 | $16 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 64 | $170 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 59 | $16 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 57 | $138 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tacrolimus | 167 | 42 |
| Furosemide | 105 | 24 |
| Spironolactone | 92 | 24 |
| Lactulose | 84 | 23 |
| Pantoprazole Sodium | 82 | 27 |
| Ursodiol | 68 | 14 |
| Carvedilol | 62 | 22 |
| Amlodipine Besylate | 62 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$404 across 8 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
- 2007-02-15
- Last updated
- 2013-07-05
Frequently asked questions
- What is Scott Matherly's NPI number?
- Scott Matherly's National Provider Identifier (NPI) is 1225171234, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Scott Matherly's specialty?
- Scott Matherly is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Scott Matherly located?
- Scott Matherly's practice location on file with NPPES is 1250 E Marshall St, Richmond, VA 23298-5051.
- What is Scott Matherly's phone number?
- The practice phone number listed in the NPPES registry for Scott Matherly is (804) 828-4060.
- Does Scott Matherly accept Medicare?
- Scott Matherly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Scott Matherly's NPI active?
- Yes — Scott Matherly's NPI (1225171234) is active in the NPPES registry as of the last update on 2013-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.