Mark Matthews, M.D.
NPI 1245348390 · Cardiovascular Disease Physician · Toccoa, GA
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Matthews, M.D. is a Cardiovascular Disease Physician provider in Toccoa, GA (NPI 1245348390).
Provider details
- NPI number
- 1245348390
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 90757 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
3,868 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 | 775 | $120 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 752 | $13 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 466 | $156 |
| 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 | 339 | $16 |
| Technetium Tc-99m Tetrofosmin, Diagnostic, Per Study DoseA9502 | 312 | $113 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 277 | 109 |
| Apixabanbrand: Eliquis | 162 | 53 |
| Rosuvastatin Calcium | 100 | 40 |
| Losartan Potassium | 95 | 33 |
| Amlodipine Besylate | 81 | 39 |
| Carvedilol | 77 | 30 |
| Furosemide | 65 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$831 across 38 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
- 2006-08-28
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Frequently asked questions
- What is Mark Matthews's NPI number?
- Mark Matthews's National Provider Identifier (NPI) is 1245348390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Matthews's specialty?
- Mark Matthews is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Matthews located?
- Mark Matthews's practice location on file with NPPES is 163 Hospital Dr, Toccoa, GA 30577-6820.
- What is Mark Matthews's phone number?
- The practice phone number listed in the NPPES registry for Mark Matthews is (706) 282-4200.
- Does Mark Matthews accept Medicare?
- Mark Matthews is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Matthews's NPI active?
- Yes — Mark Matthews's NPI (1245348390) is active in the NPPES registry as of the last update on 2026-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.