Dr. Edwin Roy Mathews, DO

  • Springfield, IL
  • Internist
NPI1225657125PAC ID0648694448
Medicare services, 2023
74
Medicare patients, 2024
16
Part D claims, 2024
1,930
MIPS score, 2024
79
Hospital affiliations
2
Practice address
701 N First St, Springfield, IL 62702
Practice phone
Call (217) 788-3000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Springfield Memorial Hospital

Hospital · Springfield, Illinois

See all 6 affiliations

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Dr. Edwin Roy Mathews is an internist in Springfield, Illinois

Dr. Mathews practices at Springfield Memorial Hospital in Springfield, Illinois, part of Memorial Health System.

Dr. Mathews' NPI, 1225657125, was assigned on April 10, 2020. Dr. Mathews holds Illinois license 036.165011.

NPI and contact details
Medicare PAC ID
0648694448
NPI enumeration date
April 10, 2020
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(217) 788-3000
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
32
Medical school graduation
2020

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Edwin Roy Mathews practices at Springfield Memorial Hospital in Springfield, Illinois

Dr. Mathews' primary practice is Springfield Memorial Hospital, at 701 N First St, Springfield, IL 62702 in Sangamon County. The practice phone is (217) 788-3000.

Source: Dmand AI Affiliation Data

Dr. Edwin Roy Mathews is affiliated with 5 sites of care and 1 medical group

Dr. Mathews' primary practice is Springfield Memorial Hospital in Springfield, Illinois, part of Memorial Health System. Dr. Mathews is also affiliated with Jacksonville Memorial Hospital. The medical group on file is Memorial Care on Koke Mill. Dmand AI also links Dr. Mathews to 2 more home health agencies and 1 rural health clinic, each named with a free account.

See all 6 affiliations for Dr. Mathews

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Edwin Roy Mathews' practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Mathews practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Springfield Memorial HospitalAvailable with a free account
+4 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Edwin Roy Mathews is one of 5,652 internists in Illinois

Internal medicine is Dr. Mathews' primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Mathews is licensed in Illinois.

Specialties and state licenses

  • Internal medicine, IllinoisPrimaryLicense 036.165011 · taxonomy 207R00000X

Internists near Dr. Mathews

Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Edwin Roy Mathews billed Medicare for 74 services in 2023

CMS data shows 74 Medicare services from Dr. Mathews across 2 procedure codes in 2023, for 16 Medicare patients. Medicare paid $8,024 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 202374
Medicare patients16
Paid by Medicare$8,024
Procedure codes2

Dr. Mathews compared with the Illinois median for internists, 2023

  • Dr. Mathews
  • Illinois median
Medicare services
74vs 56687% below
Medicare patients
16vs 20892% below
Part D claims
1,395vs 2844.9 times

Medians across 5,192 internists in Illinois with Dmand AI profiles that report each measure.

Dr. Mathews' most billed Medicare procedure codes, 2023

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Edwin Roy Mathews treated 16 Medicare patients in 2024, average age 75

CMS counts 16 Medicare patients who saw Dr. Mathews in 2024. Their average risk score is 1.10, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Mathews' median patient age at 63, with 51% women.

Medicare patients, 202416
Average age75
Average risk score1.10

Dr. Mathews' patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 63

Patient panel by sex, all payers

  • Women51%
  • Men49%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Edwin Roy Mathews wrote 1,930 Medicare Part D claims in 2024

In 2024, Dr. Mathews wrote 1,930 Medicare Part D claims for 249 patients. 91% of them were for generic drugs. CMS names the drug for 1,395 of them, across 46 drugs with 11 or more claims each, at $41,218 in total drug cost. In 2023, CMS named 233 claims across 15 drugs.

Part D claims, 20241,930
Drugs named by CMS46
Total drug cost$41,218
Part D patients249

Dr. Mathews' Part D claims by kind of drug, 2024

  • Generic1,749 claims91%
  • Brand-name and other181 claims9%

Dr. Mathews' most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Mathews' Part D claims, 2024

  • Opioids2%31 of 1,930 claims
  • Antibiotics2%36 of 1,930 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 2332024: 1,395499%

Drugs named by CMS: 46 in 2024, 15 in 2023.

See all prescribing by Dr. Mathews

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Edwin Roy Mathews scored 79 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 79 out of 100 for Dr. Mathews for performance year 2024, reported as part of a group. Dr. Mathews accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Mathews' MIPS scores, performance year 2024

  • 79of 100Final score
  • 71.8of 100Quality
  • 77of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 76of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Sources for Dr. Edwin Roy Mathews's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Edwin Roy Mathews

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Edwin Roy Mathews' NPI number?

Dr. Edwin Roy Mathews' NPI number is 1225657125. It was assigned on April 10, 2020, and it is active in the NPI Registry.

What kind of doctor is Dr. Edwin Roy Mathews?

Dr. Edwin Roy Mathews is an internist in Springfield, Illinois. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).

Where does Dr. Edwin Roy Mathews practice?

Dr. Mathews practices at 701 N First St, Springfield, IL 62702. Dr. Mathews' primary practice is Springfield Memorial Hospital in Springfield, Illinois, part of Memorial Health System. Dmand AI also links Dr. Mathews to 2 home health agencies and 1 rural health clinic.

What is Dr. Edwin Roy Mathews' office phone number?

The practice phone on file for Dr. Mathews is (217) 788-3000.

What is Dr. Edwin Roy Mathews' medical license number?

Dr. Mathews holds Illinois license 036.165011.

Which hospitals is Dr. Edwin Roy Mathews affiliated with?

Dr. Mathews practices at Springfield Memorial Hospital in Springfield, Illinois. Dr. Mathews is also affiliated with Jacksonville Memorial Hospital.

What medical group is Dr. Edwin Roy Mathews part of?

Dr. Mathews is linked to Memorial Care on Koke Mill.

Does Dr. Edwin Roy Mathews accept Medicare?

Yes. CMS data shows Dr. Mathews billed Medicare for 74 services in 2023, and Dr. Mathews accepts Medicare assignment.

What is Dr. Edwin Roy Mathews' MIPS score?

Dr. Mathews' MIPS final score for performance year 2024 is 79 out of 100, reported as part of a group.

How many Medicare patients does Dr. Edwin Roy Mathews see?

CMS counts 16 Medicare patients who saw Dr. Mathews in 2024, with an average age of 75.

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What services does Dr. Edwin Roy Mathews bill to Medicare?

In 2023, Dr. Mathews' most billed Medicare services were hospital inpatient care (99223) and hospital inpatient care (99233).

What drugs does Dr. Edwin Roy Mathews prescribe most?

In 2024 Medicare Part D data, Dr. Mathews' most prescribed drugs by claims were Atorvastatin Calcium, Amlodipine Besylate and Lisinopril.

How long has Dr. Edwin Roy Mathews been practicing?

Dr. Mathews graduated from medical school in 2020, 6 years ago.

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