Active NPI 1609952217 Individual Practitioner Male Practitioner

Dr. David Edwin Mathis , MD

Internal Medicine • Macon, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Mathis, MD is a certified Internal Medicine practicing in Macon, GA. With approximately 36 years of clinical experience since graduating from Mercer University School Of Medicine in 1990, Dr. Mathis delivers high-quality medical care to the local community at 707 PINE STREET.

Dr. Mathis is affiliated with Privia Medical Group Of Georgia Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

707 Pine Street

Macon, GA 31201

Telephone 4783015801

Fax 4783015812

Medicare Profile & Education

Medical School

Mercer University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Macon, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +18.4 yrs vs City Avg

City Avg: 17.6 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

194 Specialists

Practicing in Macon, GA (4065 Statewide)

Telehealth Adoption Rate

7.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mathis (36 Years) 36 Yrs

Macon Specialty Average (17.6 Years) 17.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	28	$172.33	$74.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	28	$477.10	$164.13
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$167.83	$62.39
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	17	$258.45	$112.43
99238 Hospital discharge day management, 30 minutes or less	14	12	$171.14	$76.32
99239 Hospital discharge day management, more than 30 minutes	14	14	$271.36	$107.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	11	$85.00	$47.60
99213 Established patient office or other outpatient visit, typically 15 minutes	32	29	$139.00	$63.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	13	$398.00	$165.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	241	66	$182.17	$66.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	211	68	$98.88	$36.77
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	201	180	$28.73	$7.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	55	$468.11	$186.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	29	$269.75	$97.49
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$139.00	$64.33
99239 Hospital discharge day management, more than 30 minutes	27	27	$285.33	$99.55
99238 Hospital discharge day management, 30 minutes or less	25	25	$148.00	$68.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	278	66	$192.05	$68.72
99231 Follow-up hospital inpatient care per day, typically 15 minutes	152	54	$105.84	$36.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	51	$507.55	$189.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	26	$270.45	$97.33
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$141.57	$65.37
99239 Hospital discharge day management, more than 30 minutes	26	26	$285.54	$101.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$361.65	$130.78
99238 Hospital discharge day management, 30 minutes or less	13	13	$163.23	$68.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	356	87	$192.21	$71.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	202	71	$105.44	$38.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	61	$494.54	$200.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	57	40	$268.49	$103.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	36	$354.66	$137.07
99239 Hospital discharge day management, more than 30 minutes	37	36	$285.03	$105.93
99213 Established patient office or other outpatient visit, typically 15 minutes	35	33	$139.00	$51.11
99238 Hospital discharge day management, 30 minutes or less	24	23	$164.83	$71.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	252	75	$185.87	$71.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	152	60	$100.16	$38.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	58	$497.81	$198.92
99213 Established patient office or other outpatient visit, typically 15 minutes	41	39	$139.00	$50.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	22	$264.61	$102.29
99239 Hospital discharge day management, more than 30 minutes	28	26	$283.21	$104.69
99238 Hospital discharge day management, 30 minutes or less	26	26	$159.38	$71.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$344.00	$134.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	73	$139.00	$50.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	30	$171.12	$71.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	21	$98.26	$38.43
99238 Hospital discharge day management, 30 minutes or less	13	13	$151.69	$71.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$423.17	$198.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	113	$139.00	$49.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	25	$142.00	$70.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	21	$85.00	$38.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$398.00	$196.60
99238 Hospital discharge day management, 30 minutes or less	18	18	$144.00	$69.90

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 035103

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000482853E (GA)

Commercial Insurance / Payer ID Railroad Medicare

110183236 (GA)

Hospital & Practice Group Affiliations

Privia Medical Group Of Georgia Llc

101 Yorktown Dr, Fayetteville, GA 302147663

Phone: 7704604285

Privia Medical Group Of Georgia Llc

101 Yorktown Dr, Fayetteville, GA 302141578

Privia Medical Group Of Georgia Llc

777 Hemlock St, Macon, GA 312012102

Phone: 4786331000

Privia Medical Group Of Georgia Llc

764 Pine St, Macon, GA 312012107

Phone: 4786331721

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners

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Family Medicine

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Doctor of Medicine (M.D.)

Dr. John Winnie , MD

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NPI 1053353938

Doctor of Medicine (M.D.)

Glynnis Haley , NP-C

Nurse Practitioner - Family

NPI 1063585248

Nurse Practitioner (Certified)

Angela Polk , NP

Nurse Practitioner - Family

NPI 1083135271

Nurse Practitioner

Dr. Sadia Zahid , MD

Internal Medicine

NPI 1093968729

Doctor of Medicine (M.D.)

Dr. Douglas Farman , MD

Internal Medicine - Pulmonary Disease

NPI 1144310954

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 18, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2014

Registered at 707 PINE STREET, MACON, GA 31201 (Tel: 4783015801)

📍

Updated Business Mailing Address July 18, 2014

Registered at PO BOX 4947, MACON, GA 312084947 (Tel: 4783012362)

👤

Provider Name / Credentials Updated July 18, 2014

Recorded as DAVID MATHIS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2014

Internal Medicine (License #035103 in GA)

🟢

Initial NPI Registration & Enumeration October 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609952217

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 27, 2006

Last Update: July 18, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 4947

Macon, GA 312084947

Phone: 4783012362

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.