Dr James K Matheson, DO - Medicare Obstetrics/gynecology in Amherst, OH

Dr James K Matheson, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Amherst, Ohio. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 1984 and has 40 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Mercy Health Physicians Lorain Specialty Care Llc, Lorain County Health And Dentistry and his current practice location is 578 N Leavitt Rd, Amherst, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 960-3912.

Dr James K Matheson is licensed to practice in Ohio (license number 34-00-4252) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023095726.

Contact Information

Dr James K Matheson, DO
578 N Leavitt Rd,
Amherst, OH 44001-1131
(440) 960-3912
(440) 960-3913

Map and Direction




Physician's Profile

Full NameDr James K Matheson
GenderMale
SpecialityObstetrics/gynecology
Experience40 Years
Location578 N Leavitt Rd, Amherst, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James K Matheson attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 1984
  NPI Data:
  • NPI Number: 1023095726
  • Provider Enumeration Date: 12/23/2005
  • Last Update Date: 04/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7012093230
  • Enrollment ID: I20080327000454

Medical Identifiers

Medical identifiers for Dr James K Matheson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023095726NPI-NPPES
0762652MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 34-00-4252 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Regional Medical CenterLorain, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Health Physicians Lorain Specialty Care Llc4688070055115
Lorain County Health And Dentistry923404785318

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James K Matheson allows following entities to bill medicare on his behalf.
Entity NameMercy Health Physicians Lorain Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023347192
PECOS PAC ID: 1355474172
Enrollment ID: O20100730000651
Entity NameMercy Health Physicians Lorain Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972126381
PECOS PAC ID: 4688070055
Enrollment ID: O20210909003432

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James K Matheson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James K Matheson, DO
578 N Leavitt Rd,
Amherst, OH 44001-1131

Ph: (440) 960-3912
Dr James K Matheson, DO
578 N Leavitt Rd,
Amherst, OH 44001-1131

Ph: (440) 960-3912

Reviews and Comments


Obstetrics & Gynecology Doctors in Amherst, OH

Dr. Karen M Mihalik- Potoczak, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 590 North Leavitt Rd, Amherst, OH 44001
Phone: 440-985-3050    Fax: 440-985-3065

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.