NPI registry status
Active
2026 NPPES data Orthopaedic Surgery Physician NPI 1518039742 M.D.
Verify on CMS → Jeffrey Matheny, M.D.
Orthopaedic Surgery Physician in West Mifflin, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 26,109 in Orthopaedic Surgery 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
211
Medicare Part D claims · 106 beneficiaries · Orthopaedic Surgery Physician avg: 344
Industry payments
$167.13
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Jeffrey Matheny, M.D. filed 211 Medicare Part D claims in 2024 as an Orthopaedic Surgery Physician in West Mifflin, Pennsylvania.
- 211
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥48th
- 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.
Federal trust snapshot
What official records show about Jeffrey Matheny, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1518039742), first enumerated 11/14/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 211 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$167.13 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Jeffrey Matheny, M.D.'s individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1518039742 · Orthopaedic Surgery Physician
NPI-10 · ENUM-LEGACY · TAX-MID · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1518039742
- ENUM-LEGACY 2006
- TAX-MID 26K Orthopaedic Surgery
- RX-LIGHT 211
- BOOK-LIGHT 1,255 in Pennsylvania
- PHOTO-ENUM Aaron Legrand · 2006
Jeffrey Matheny, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
211 ≥ 48th percentile 48% of 1,416,883 prescribers are in lower value bands
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 · 2024
✓
Board certification likely (heuristic, not verified)
Jeffrey Matheny, M.D. 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 Jeffrey Matheny, M.D.?
Quality data not reportedPrimary specialty
Orthopaedic Surgery Physician
Medicare Part D claims
211 39% vs specialty avg
Specialty distribution in Pennsylvania
How Orthopaedic Surgery Physician compares to other specialties among Pennsylvania 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 Orthopaedic Surgery 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
Provider Details
| NPI | 1518039742 |
|---|---|
| Specialty | Orthopaedic Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 11/14/2006 |
Hospital and facility affiliations
Facilities where Jeffrey Matheny, M.D. 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.
Allegheny Clinic
West Mifflin, PA
Medstar Medical Group II LLC
Leonardtown, MD
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 Jeffrey Matheny, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$167
Largest payer
Zimmer Biomet Holdings, 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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Jeffrey Matheny, M.D.. To verify Jeffrey Matheny, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania 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 2024.
211
Total Claims
$1K
Total Drug Cost
106
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 219.333
- Total Day Supply
- 3,755
- Brand Drug Cost
- $0
- Generic Drug Cost
- $1K
- Opioid Claims
- 43 (20.4% rate)
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 72.2 years
- Avg HCC Risk Score
- 1.04
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 13, 65-74: 55, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Jeffrey Matheny, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Meloxicam
Meloxicam
76 claims
- Methylprednisolone
Methylprednisolone
39 claims
- Tramadol Hcl 20
Tramadol Hcl
20 claims
- Diclofenac Sodium 16
Diclofenac Sodium
16 claims
- Mupirocin 16
Mupirocin
16 claims
- Hydrocodone-Acetam… 15
Hydrocodone-Acetaminophen
15 claims
| Drug | Claims |
|---|---|
| Meloxicam | 76 |
| Methylprednisolone | 39 |
| Tramadol Hcl | 20 |
| Diclofenac Sodium | 16 |
| Mupirocin | 16 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Orthopaedic Surgery Physician Overview
How Jeffrey Matheny, M.D. fits within the Orthopaedic Surgery Physician landscape nationally.
26,109
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
344
Avg Claims per Provider
Jeffrey Matheny, M.D.'s 211 claims are below the specialty average of 344.
Nationwide Orthopaedic Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Matheny, both outside Pennsylvania so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Orthopaedic Surgery Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Matheny.
One of 1,255 Orthopaedic Surgery Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Jack Abboudi
M.D.
Bryn Mawr, PA
Melissa Adams
LPN
Lebanon, PA
Dr. Kevin Adik
MD
Scranton, PA
Dr. Carl Adolph
MD
Lancaster, PA
Dr. Steven Agabegi
MD
Somerset, PA
Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Jeffrey Matheny, M.D.'s specialty? ▼
Jeffrey Matheny, M.D. specializes in Orthopaedic Surgery Physician and practices in West Mifflin, Pennsylvania. Credentials: M.D..
How much does Jeffrey Matheny, M.D. prescribe under Medicare Part D? ▼
In 2024, Jeffrey Matheny, M.D. wrote 211 Medicare Part D claims totaling $1K in drug costs for 106 beneficiaries.
Where is Jeffrey Matheny, M.D. located? ▼
Jeffrey Matheny, M.D. is located at 2027 LEBANON CHURCH RD FL 1, West Mifflin, PA, 15122. Phone: (412) 469-1660.
What is Jeffrey Matheny, M.D.'s NPI number? ▼
Jeffrey Matheny, M.D.'s National Provider Identifier (NPI) is 1518039742, issued on 11/14/2006.
Does Jeffrey Matheny, M.D. prescribe opioids? ▼
Yes, Jeffrey Matheny, M.D. had 43 opioid claims in 2024 with an opioid prescribing rate of 20.4%.
How many Orthopaedic Surgery Physician providers are there in the US? ▼
There are 26,109 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 344 Medicare Part D claims per year.
What drugs does Jeffrey Matheny, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Jeffrey Matheny, M.D.'s most frequently prescribed drugs include Meloxicam, Methylprednisolone, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jeffrey Matheny, M.D. accept Medicare? ▼
Jeffrey Matheny, M.D. appears in CMS Medicare data with 211 Part D claims and 106 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jeffrey Matheny, M.D.'s credentials? ▼
Jeffrey Matheny, M.D.'s NPI is 1518039742 with credentials M.D.. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.