Gaynell P. Matherne, MD
Pediatric Cardiology Physician · Charlottesville, VA
Gaynell P. Matherne, MD is a pediatric cardiology physician with a practice address in Charlottesville, Virginia, and NPI 1679642201, issued on Nov 7, 2006. Check the license (Virginia 0101042125, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Gaynell P. Matherne
- Credential
- MD
- Primary taxonomy
- Pediatric Cardiology Physician 2080P0202X
- License number
- 0101042125 VA
Self-reported in NPPES; status is on the state search - Practice location
- 1204 W Main St, Charlottesville, VA 22903
- Phone
- (434) 924-0123
- Enumerated
- Nov 7, 2006
- Record last updated
- Aug 7, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (434) 243-3300
- Entity
- Type 1 · individual
8 nearest pediatric cardiology physician records → All 98 in Virginia → Look up another NPI →
Also registered at 1204 W Main St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Michelle Adu-Darko, M.D.Pediatric Critical Care Medicine Physician1467642298
- Caitlin Anderson, PHDClinical Psychologist1417563180
- Evan Anderson, PHDClinical Psychologist1134765159
- Susan AndersonDevelopmental - Behavioral Pediatrics Physician1518036136
- Jennifer Andrews, D.O.Pediatrics Physician1003200221
- Cecelia Babbott, M.D.Pediatrics Physician1659564912
Verify Gaynell P. Matherne in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101042125Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 79.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Gaynell P. Matherne among 98 pediatric cardiology physician records in Virginia
Gaynell P. Matherne, MD is one of 98 pediatric cardiology physician records with a practice address in Virginia. 62% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 0% of them.
- NPI issued2006 · 0% of these records are older, 52% newer
- In a Medicare fileYes · 62% of these records are
- In the CMS Doctors and Clinicians fileNo · 46% of these records are
- Record last updated2019 · 37% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080P0202X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Cardiology Physician providers in Virginia
There are 98 pediatric cardiology physician records in Virginia.
All 98 in Virginia → Every provider in Charlottesville → Pediatric Cardiology Physician nationwide →
The 8 pediatric cardiology physician records with the nearest ZIP codes
- Peter Dean, M.D.Charlottesville, VA 229031134396252
- Sarah Grorud, MDCharlottesville, VA 229031861020679
- Asma Habib, M.D.Charlottesville, VA 229031003112566
- Michael Hainstock, M.D.Charlottesville, VA 229031144547449
- Thomas Lecuyer, M.D.Charlottesville, VA 229031295773315
- Nancy McDaniel, M.D.Charlottesville, VA 229031750450383
- Chelsea Miller, MDCharlottesville, VA 229031144780297
- Geoffrey Rosenthal, MDCharlottesville, VA 229031306939608
Common questions
What is Gaynell P. Matherne, MD's NPI number?
Gaynell P. Matherne, MD's National Provider Identifier (NPI) is 1679642201, issued on Nov 7, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Gaynell P. Matherne, MD located?
The NPPES record lists a practice address at 1204 W Main St, Charlottesville, VA, 22903. Phone: (434) 924-0123. Providers update this record themselves, so call before visiting.
How can I verify Gaynell P. Matherne, MD's license?
NPPES lists Virginia license number 0101042125, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Gaynell P. Matherne, MD's MIPS final score?
The 2023 MIPS final score is 79.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.