2026 NPPES data Child & Adolescent Psychiatry Physician NPI 1699302885 MD
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JESSE MATHERLY, MD

Child & Adolescent Psychiatry Physician in LEXINGTON, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
112
Medicare Part D claims · 18 beneficiaries · Child & Adolescent Psychiatry Physician avg: 600
What the federal data reveals: JESSE MATHERLY, MD is a Child & Adolescent Psychiatry Physician ([object Object]) practicing in LEXINGTON, Kentucky with a Medicare Part D prescribing footprint of 112 claims across 18 beneficiaries .

What stands out: JESSE MATHERLY, MD filed 112 Medicare Part D claims in 2023 across LEXINGTON, Kentucky. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

JESSE MATHERLY, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

JESSE MATHERLY, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 03/26/2020

NPI 1699302885

Primary specialty

Child & Adolescent Psychiatry Physician

Mid-sized

6,160 US NPIs in this specialty

Medicare Part D claims

112 81% vs specialty avg

2023 prescription claims

Specialty avg: 600

Specialty distribution in Kentucky

How Child & Adolescent Psychiatry Physician compares to other specialties among Kentucky providers

Kentucky providers

Child & Adolescent Psychiatry Physician share within Kentucky

1. Child & Adolescent Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Child & Adolescent Psychiatry Physician share within Kentucky

Specialty board-certification context

Estimated specialty board-certified rate — Child & Adolescent Psychiatry Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Child & Adolescent Psychiatry Physician ABMS/AOA estimate

Est. board-certified rate (Child & Adolescent Psychiatry Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Child & Adolescent Psychiatry Physician) — ABMS / AOA estimate

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).

JESSE MATHERLY, MD is a Child & Adolescent Psychiatry Physician provider practicing in LEXINGTON, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1699302885. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JESSE MATHERLY, MD appears in the CMS NPPES registry as a Child & Adolescent Psychiatry Physician provider holding MD credentials at 245 FOUNTAIN CT, LEXINGTON, KY, 40509, with a listed phone of (859) 323-6021. NPI 1699302885 was issued on 03/26/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MATHERLY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 112 prescription claims written by this provider, covering 18 Medicare beneficiaries and totaling roughly $4K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Child & Adolescent Psychiatry Physician is a mid-sized specialty nationwide, with 6,160 enrolled providers across 54 states and an average of 600 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

245 FOUNTAIN CT
LEXINGTON, KY 40509

Provider Details

NPI 1699302885
Specialty Child & Adolescent Psychiatry Physician
Credentials MD
Gender Male
NPI Issued 03/26/2020

Medicare Part D Prescribing Data

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

112
Total Claims
$4K
Total Drug Cost
18
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
165
Total Day Supply
4,851
Brand Drug Cost
$0
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
57.3 years
Avg HCC Risk Score
2.12

Child & Adolescent Psychiatry Physician Overview

How JESSE MATHERLY, MD fits within the Child & Adolescent Psychiatry Physician landscape nationally.

6,160
Child & Adolescent Psychiatry Physician Providers in US
54
States with Child & Adolescent Psychiatry Physician
600
Avg Claims per Provider

JESSE MATHERLY, MD's 112 claims are below the specialty average of 600.

Nearby Child & Adolescent Psychiatry Physician Providers in Kentucky

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

Compare Child & Adolescent Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JESSE MATHERLY, MD's specialty?
JESSE MATHERLY, MD specializes in Child & Adolescent Psychiatry Physician and practices in LEXINGTON, Kentucky. Credentials: MD.
How much does JESSE MATHERLY, MD prescribe under Medicare Part D?
In 2023, JESSE MATHERLY, MD wrote 112 Medicare Part D claims totaling $4K in drug costs for 18 beneficiaries.
Where is JESSE MATHERLY, MD located?
JESSE MATHERLY, MD is located at 245 FOUNTAIN CT, LEXINGTON, KY, 40509. Phone: (859) 323-6021.
What is JESSE MATHERLY, MD's NPI number?
JESSE MATHERLY, MD's National Provider Identifier (NPI) is 1699302885, issued on 03/26/2020.
How many Child & Adolescent Psychiatry Physician providers are there in the US?
There are 6,160 Child & Adolescent Psychiatry Physician providers across 54 states in the US. The average Child & Adolescent Psychiatry Physician provider writes 600 Medicare Part D claims per year.
Does JESSE MATHERLY, MD accept Medicare?
JESSE MATHERLY, MD appears in CMS Medicare data with 112 Part D claims and 18 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JESSE MATHERLY, MD's credentials?
JESSE MATHERLY, MD's NPI is 1699302885 with credentials MD. 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

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