Matthew Mathos

  • Edgewood, KY
  • Orthopedic surgeon
NPI1285126698PAC ID4284986514
Medicare services, 2024
40
Medicare patients, 2024
71
Part D claims, 2024
231
MIPS score, 2024
94
Hospital affiliations
5
Practice address
1 Medical Village Drive, Edgewood, KY 41017
Practice phone
Call (859) 301-2000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

St. Elizabeth Healthcare Edgewood Hospital

Hospital · Edgewood, Kentucky

See all 13 affiliations

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Matthew Mathos is an orthopedic surgeon in Edgewood, Kentucky

Matthew Mathos practices at St. Elizabeth Healthcare Edgewood Hospital in Edgewood, Kentucky, part of Diocese of Covington.

Matthew Mathos' NPI, 1285126698, was assigned on May 31, 2018. Matthew Mathos graduated from Lake Erie College of Osteopathic Medicine, Erie in 2018. Matthew Mathos holds Pennsylvania license OT018467.

NPI and contact details
Medicare PAC ID
4284986514
NPI enumeration date
May 31, 2018
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(859) 301-2000
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
34
Medical school graduation
2018

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

Matthew Mathos practices at St. Elizabeth Healthcare Edgewood Hospital in Edgewood, Kentucky

Matthew Mathos' primary practice is St. Elizabeth Healthcare Edgewood Hospital, at 1 Medical Village Drive, Edgewood, KY 41017 in Kenton County. The practice phone is (859) 301-2000.

Source: Dmand AI Affiliation Data

Matthew Mathos is affiliated with 10 sites of care and 3 medical groups

Matthew Mathos' primary practice is St. Elizabeth Healthcare Edgewood Hospital in Edgewood, Kentucky, part of Diocese of Covington. Matthew Mathos is also affiliated with Conemaugh Memorial Medical Center. The medical group on file is Vantage Physical Therapy and Rehabilitation. Dmand AI also links Matthew Mathos to 3 more hospitals, 2 group practices and clinics, 2 home health agencies, 2 medical groups and 1 therapy and rehab clinic, each named with a free account.

See all 13 affiliations for Matthew Mathos

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

Dmand AI tracks the EHR system at Matthew Mathos' practice

Dmand AI tracks the electronic health record (EHR) system at each site where Matthew Mathos practices, 10 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
St. Elizabeth Healthcare Edgewood HospitalAvailable with a free account
+9 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Dmand AI maps EHR vendors, IT decision makers and buying committees across Diocese of Covington and 6.2K+ hospitals, with verified contacts in the same login.

Matthew Mathos is one of 291 orthopedic surgeons in Kentucky

Orthopaedic surgery is Matthew Mathos' primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dmand AI has Matthew Mathos' licenses on file in 3 states: Pennsylvania, Kentucky and Ohio.

Specialties and state licenses

  • Orthopaedic surgery, PennsylvaniaPrimaryLicense OT018467 · taxonomy 207X00000X
  • Kentucky licenseLicense 05513
  • Ohio licenseLicense 34.016400

Orthopedic surgeons near Matthew Mathos

Counts of orthopedic surgeons 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

Matthew Mathos billed Medicare for 40 services in 2024

CMS data shows 40 Medicare services from Matthew Mathos across 3 procedure codes in 2024, for 71 Medicare patients. Medicare paid $4,832 for them.

Medicare services, 202440
Medicare patients71
Paid by Medicare$4,832
Procedure codes3

Matthew Mathos' Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Surgery
2023: 242024: 2713%
Office and hospital visits
2023: 02024: 13

Where Matthew Mathos' Medicare services took place, 2024

  • In an office1333%
  • In a facility2768%

Matthew Mathos compared with the Kentucky median for orthopedic surgeons, 2024

  • Matthew Mathos
  • Kentucky median
Medicare services
40vs 1,20997% below
Medicare patients
71vs 25772% below
Part D claims
206vs 24616% below

Medians across 291 orthopedic surgeons in Kentucky with Dmand AI profiles that report each measure.

Matthew Mathos' most billed Medicare procedure codes, 2024

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

See all procedures by Matthew Mathos

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

Matthew Mathos treated 71 Medicare patients in 2024, average age 73

CMS counts 71 Medicare patients who saw Matthew Mathos in 2024. The largest group is 65 to 74, with 40 patients. 75% of them have arthritis, and 75% have high blood pressure. Their average risk score is 1.12, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Matthew Mathos' median patient age at 65, with 55% women.

Medicare patients, 202471
Average age73
Average risk score1.12

Matthew Mathos' Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Matthew Mathos' Medicare patients by sex, 2024

  • Women4868%
  • Men2332%

Chronic conditions among Matthew Mathos' Medicare patients, 2024

  1. Arthritis75%
  2. High blood pressure75%
  3. High cholesterol73%
  4. Anxiety41%
  5. Diabetes35%
  6. Mood disorders31%
  7. Depression30%
  8. Ischemic heart disease27%

Share of Medicare patients with each condition. A patient can have several.

Matthew Mathos' patients across all payers

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

Patient panel by age, all payers

Median age 65

Patient panel by sex, all payers

  • Women55%
  • Men45%

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

Matthew Mathos wrote 231 Medicare Part D claims in 2024

In 2024, Matthew Mathos wrote 231 Medicare Part D claims for 124 patients. 98% of them were for generic drugs. CMS names the drug for 206 of them, across 5 drugs with 11 or more claims each, at $762 in total drug cost. In 2023, CMS named 122 claims across 4 drugs.

Part D claims, 2024231
Drugs named by CMS5
Total drug cost$762
Part D patients124

Matthew Mathos' Part D claims by kind of drug, 2024

  • Generic226 claims98%
  • Brand-name and other5 claims2%

Matthew Mathos' 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 Matthew Mathos' Part D claims, 2024

  • Opioids45%105 of 231 claims
  • Antibiotics41%95 of 231 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: 1222024: 20669%

Drugs named by CMS: 5 in 2024, 4 in 2023.

See all prescribing by Matthew Mathos

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

Matthew Mathos scored 94 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 94 out of 100 for Matthew Mathos for performance year 2024, reported through an alternative payment model (APM). Matthew Mathos accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 11 procedures of knee replacement by Matthew Mathos, more than 37% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Matthew Mathos' MIPS scores, performance year 2024

  • 94of 100Final score
  • 85of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

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

Where Matthew Mathos ranks in Medicare procedure volume

Knee replacement
37th percentile11 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Hip replacement: 1 to 10 procedures (CMS shows small counts as a range)

Lower limb (leg) arthroscopy (minimally invasive joint repair): 1 to 10 procedures (CMS shows small counts as a range)

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

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Matthew Mathos received $18,672 in industry payments from 2018 to 2025

CMS Open Payments shows 90 general payments to Matthew Mathos from 19 drug and device companies from 2018 to 2025. Food and beverage make up the largest share, 28% of the total. Smith & Nephew, Inc. paid the most, $12,171.

General payments to Matthew Mathos by program year, 2018 to 2025

General payments to Matthew Mathos by kind, 2018 to 2025

$18.7Kin total
  • Food and beverage$5,21228%
  • Education$5,00027%
  • Grants$5,00027%
  • Travel and lodging$3,46019%

Companies that paid Matthew Mathos the most, 2018 to 2025

Share is of all general payments to this clinician.

See all payments to Matthew Mathos

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Matthew Mathos graduated from Lake Erie College of Osteopathic Medicine, Erie

Matthew Mathos graduated from Lake Erie College of Osteopathic Medicine, Erie in 2018.

  1. Medical schoolLake Erie College of Osteopathic Medicine, Erie

Source: Dmand AI Professional Profile Data

Sources for Matthew Mathos'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)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
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 Matthew Mathos

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

What is Matthew Mathos' NPI number?

Matthew Mathos' NPI number is 1285126698. It was assigned on May 31, 2018, and it is active in the NPI Registry.

What does Matthew Mathos specialize in?

Matthew Mathos is an orthopedic surgeon in Edgewood, Kentucky. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).

Where does Matthew Mathos practice?

Matthew Mathos practices at 1 Medical Village Drive, Edgewood, KY 41017. Matthew Mathos' primary practice is St. Elizabeth Healthcare Edgewood Hospital in Edgewood, Kentucky, part of Diocese of Covington. Dmand AI also links Matthew Mathos to 3 hospitals, 2 group practices and clinics, 2 home health agencies, 2 medical groups and 1 therapy and rehab clinic.

What is Matthew Mathos' office phone number?

The practice phone on file for Matthew Mathos is (859) 301-2000.

What is Matthew Mathos' medical license number?

Matthew Mathos holds Pennsylvania license OT018467, one of the licenses on file in 3 states.

Which states has Matthew Mathos been licensed in?

Dmand AI has state licenses on file for Matthew Mathos in Pennsylvania, Kentucky and Ohio.

Which hospitals is Matthew Mathos affiliated with?

Matthew Mathos practices at St. Elizabeth Healthcare Edgewood Hospital in Edgewood, Kentucky. Matthew Mathos is also affiliated with Conemaugh Memorial Medical Center. Dmand AI links Matthew Mathos to 3 more hospitals.

What medical group is Matthew Mathos part of?

Matthew Mathos is linked to Vantage Physical Therapy and Rehabilitation. Dmand AI links Matthew Mathos to 2 more medical groups.

Does Matthew Mathos accept Medicare?

Yes. CMS data shows Matthew Mathos billed Medicare for 40 services in 2024, and Matthew Mathos accepts Medicare assignment.

What is Matthew Mathos' MIPS score?

Matthew Mathos' MIPS final score for performance year 2024 is 94 out of 100, reported through an alternative payment model (APM).

Show 6 more questionsShow fewer questions

How many Medicare patients does Matthew Mathos see?

CMS counts 71 Medicare patients who saw Matthew Mathos in 2024, with an average age of 73.

What services does Matthew Mathos bill to Medicare?

In 2024, Matthew Mathos' most billed Medicare services were surgery: bones and joints (27130), office visit, established patient (99213) and surgery: bones and joints (27447).

Where did Matthew Mathos go to medical school?

Matthew Mathos graduated from Lake Erie College of Osteopathic Medicine, Erie in 2018.

What drugs does Matthew Mathos prescribe most?

In 2024 Medicare Part D data, Matthew Mathos' most prescribed drugs by claims were Oxycodone HCl, Cephalexin and Clindamycin HCl.

Has Matthew Mathos received payments from drug or device companies?

CMS Open Payments shows $18,672 in general payments to Matthew Mathos from 19 companies from 2018 to 2025. The largest total came from Smith & Nephew, Inc.

How long has Matthew Mathos been practicing?

Matthew Mathos graduated from medical school in 2018, 8 years ago.

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