NPPES file of Aug 9, 2026

Kelli Dawn Mathew, D.O.

Pulmonary Disease Physician · Lexington, KY

Kelli Dawn Mathew, D.O. is a pulmonary disease physician with a practice address in Lexington, Kentucky, and NPI 1386962223, issued on May 15, 2010. Check the license (Kentucky 03587, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1386962223
Name
Kelli Dawn Mathew
Credential
D.O.
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License number
03587 KY
Self-reported in NPPES; status is on the state search
Practice location
800 Rose St, Lexington, KY 40536
Phone
(859) 218-0837
Enumerated
May 15, 2010
Record last updated
Jan 7, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(859) 257-2605
Medicare enrollment
Enrolled (PECOS I20130730000187); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 800 Rose St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Hicham Abada, MDVascular & Interventional Radiology Physician1790895159
  2. Ahmed Abdelfattah, MDHospitalist Physician1467014993
  3. Saba Abdulsada, MDInternal Medicine Physician1750906418
  4. Richard AbneyCertified Registered Nurse Anesthetist1093280760
  5. Andrew Abraham, MDInternal Medicine Physician1306424627
  6. Sonu Abraham, M.D.Advanced Heart Failure and Transplant Cardiology Physician1164975835

Verify Kelli Dawn Mathew in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license 03587
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kentucky license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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62% fewer Medicare Part D claims than the average pulmonary disease physician in 2024

535 Medicare Part D claims for 116 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 64% of claims.

  1. Kelli Mathew535
  2. Specialty average1,425

Most prescribed

  1. Trelegy Ellipta83 claims
  2. Stiolto Respimat51 claims
  3. Albuterol Sulfate Hfa48 claims
  4. Azithromycin42 claims
  5. Fluticasone Propionate31 claims
  6. Spiriva Respimat24 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 79.5 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.

  1. Qualityout of 100 · 30% of the final score78.2
  2. Costout of 100 · 30%50.9
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $144.54

7 payments; by number, the most common kind was food and beverage; the largest payer was Genzyme Corporation. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Kelli Mathew$144.54
  2. Specialty average$5,159.88

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Community Medical Associates IncLouisville, KY
  2. St. Claire Medical Center IncMorehead, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kelli Dawn Mathew among 235 pulmonary disease physician records in Kentucky

Kelli Dawn Mathew, D.O. is one of 235 pulmonary disease physician records with a practice address in Kentucky. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 61% of them.

  • NPI issued2010 · 61% of these records are older, 34% newer
  • In a Medicare fileYes · 89% of these records are
  • In the CMS Doctors and Clinicians fileYes · 75% of these records are
  • Graduated2010 · median 2005 among the 177 with a school on file
  • Record last updated2021 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pulmonary Disease Physician providers in Kentucky

There are 235 pulmonary disease physician records in Kentucky.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. Ketan Buch, MDLexington, KY 405361376554329
  2. Sanjay Dhar, M.D., FACPLexington, KY 405361043373707
  3. Margaret Disselkamp, MDLexington, KY 405361750515979
  4. Dennis Doherty, MDLexington, KY 405361053328880
  5. Anthony Gerber, MDLexington, KY 405361851338008
  6. Edward Hirschowitz, MDLexington, KY 405361508875311
  7. Mehdi Khosravi, M.D.Lexington, KY 405361942262506
  8. Steve Kraman, M.D.Lexington, KY 405361790707636

Common questions

What is Kelli Dawn Mathew, D.O.'s NPI number?

Kelli Dawn Mathew, D.O.'s National Provider Identifier (NPI) is 1386962223, issued on May 15, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Kelli Dawn Mathew, D.O. located?

The NPPES record lists a practice address at 800 Rose St, Lexington, KY, 40536. Phone: (859) 218-0837. Providers update this record themselves, so call before visiting.

How can I verify Kelli Dawn Mathew, D.O.'s license?

NPPES lists Kentucky license number 03587, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Kelli Dawn Mathew, D.O. prescribe under Medicare Part D?

In 2024, Kelli Dawn Mathew, D.O. had 535 Medicare Part D claims for 116 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

What is Kelli Dawn Mathew, D.O.'s MIPS final score?

The 2023 MIPS final score is 79.5 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.