2026 NPPES data Obstetrics & Gynecology Physician NPI 1023095726 DO
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James Matheson, DO

Obstetrics & Gynecology Physician in Amherst, Ohio.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 44,326 in Obstetrics & Gynecology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
486
Medicare Part D claims · 103 beneficiaries · Obstetrics & Gynecology Physician avg: 179
Industry payments
$23.69
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

James Matheson, DO filed 486 Medicare Part D claims in 2023 as an Obstetrics & Gynecology Physician in Amherst, Ohio.

486
Part D claims, 2023
Likely
board-certified (heuristic)
≥62nd
pct by Part D claim volume (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

CMS NPPES provider registry desk

NPI 1023095726 · Obstetrics & Gynecology Physician

NPI-10 · ENUM-LEGACY · TAX-MID · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM

  • NPI-10 1023095726
  • ENUM-LEGACY 2005
  • TAX-MID 44K Obstetrics &
  • RX-LIGHT 486
  • BOOK-LIGHT 1,501 in Ohio
  • PHOTO-ENUM William Montgomery · 2005

James Matheson, DO's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

486 ≥ 62nd percentile 62% of 1,370,886 prescribers are in lower value bands

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic, not verified)

James Matheson, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about James Matheson, DO?

Quality data not reported

NPI registry status

Active

Issued 12/23/2005

NPI 1023095726

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,326 US NPIs in this specialty

Medicare Part D claims

486 172% vs specialty avg

2023 prescription claims

Specialty avg: 179

Specialty distribution in Ohio

How Obstetrics & Gynecology Physician compares to other specialties among Ohio providers

Ohio providers
Case Manager/Care Coordinator10.9%Student in an Organized Heal…4.7%Licensed Practical Nurse4%Addiction (Substance Use Dis…3.5%Registered Nurse3.4%Pharmacist3.4%Obstetrics & Gynecology Phys…0.5%
Largest specialties in Ohio (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Obstetrics & Gynecology Physician. Verify directly:

How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

578 N LEAVITT RD
Amherst, OH 44001

Provider Details

NPI 1023095726
Specialty Obstetrics & Gynecology Physician
Credentials DO
Gender Male
NPI Issued 12/23/2005

Hospital and facility affiliations

Facilities where James Matheson, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Lorain County Health And Dentistry
Lorain, OH
Mercy Health Physicians Lorain Specialty Care LLC
Amherst, OH

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for James Matheson, DO. Source: openpaymentsdata.cms.gov.

Total received

$24

Largest payer

Agile Therapeutics, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Ohio OMB 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 - they are NOT specific to James Matheson, DO. To verify James Matheson, DO's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

486
Total Claims
$54K
Total Drug Cost
103
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
891
Total Day Supply
24,777
Generic Drug Cost
$24K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
66.5 years
Avg HCC Risk Score
1.13
Gender Split
100% female / 0% male
Age Distribution
<65: 27, 65-74: 50, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What James Matheson, DO prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Estradiol
183
Alendronate Sodium
32
Fluconazole
23
Medroxyprogesterone Acetate
23
Estradiol (Twice Weekly)
Estradiol
19
Myrbetriq
Mirabegron
18
Dotti
Estradiol
13
Clotrimazole-Betamethasone
Clotrimazole/Betamethasone Dip
12
Premarin
"Estrogens
N/A

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Obstetrics & Gynecology Physician Overview

How James Matheson, DO fits within the Obstetrics & Gynecology Physician landscape nationally.

44,326
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider

James Matheson, DO's 486 claims are above the specialty average of 179.

Nationwide Obstetrics & Gynecology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Matheson, both outside Ohio so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Obstetrics & Gynecology Physician Providers in Ohio

Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Matheson.

One of 1,501 Obstetrics & Gynecology Physician providers enrolled in Ohio, 5 are shown here.

Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is James Matheson, DO's specialty?
James Matheson, DO specializes in Obstetrics & Gynecology Physician and practices in Amherst, Ohio. Credentials: DO.
How much does James Matheson, DO prescribe under Medicare Part D?
In 2023, James Matheson, DO wrote 486 Medicare Part D claims totaling $54K in drug costs for 103 beneficiaries.
Where is James Matheson, DO located?
James Matheson, DO is located at 578 N LEAVITT RD, Amherst, OH, 44001. Phone: (440) 960-3912.
What is James Matheson, DO's NPI number?
James Matheson, DO's National Provider Identifier (NPI) is 1023095726, issued on 12/23/2005.
How many Obstetrics & Gynecology Physician providers are there in the US?
There are 44,326 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
What drugs does James Matheson, DO prescribe most often?
Based on 2023 Medicare Part D data, James Matheson, DO's most frequently prescribed drugs include Estradiol, Alendronate Sodium, Fluconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Matheson, DO accept Medicare?
James Matheson, DO appears in CMS Medicare data with 486 Part D claims and 103 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Matheson, DO's credentials?
James Matheson, DO's NPI is 1023095726 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.