Paul K. Mathieu, MD
Family Medicine Physician · Macon, GA
Paul K. Mathieu, MD is a family medicine physician with a practice address in Macon, Georgia, and NPI 1164684205, issued on Jun 30, 2008. Check the license (Georgia 003028, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Paul K. Mathieu
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 003028 GA
Self-reported in NPPES; status is on the state search - Practice location
- 3780 Eisenhower Pkwy, Macon, GA 31206
- Phone
- (478) 633-5500
- Enumerated
- Jun 30, 2008
- Record last updated
- Dec 20, 2011 (not updated in 15 years: call before relying on the address or phone)
- Fax
- (478) 784-3550
- Medicare enrollment
- Enrolled (PECOS I20111219000825); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 3,951 in Georgia → Look up another NPI →
Also registered at 3780 Eisenhower Pkwy
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Paul K. Mathieu in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 003028Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
96% fewer Medicare Part D claims than the average family medicine physician in 2024
128 Medicare Part D claims for 63 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 17 claims were for opioids.
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 MIPS final score for 2023 (Medicare payment program): 92.9 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $441.26
17 payments; by number, the most common kind was food and beverage; the largest payer was Gilead Sciences, Inc. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
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
- Cogent Healthcare OF Georgia PCEast Point, GA
- Wellstar Medical Group LLCMarietta, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Paul K. Mathieu among 3,951 family medicine physician records in Georgia
Paul K. Mathieu, MD is one of 3,951 family medicine physician records with a practice address in Georgia. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 52% of them.
- NPI issued2008 · 52% of these records are older, 42% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated2006 · median 2005 among the 2,542 with a school on file
- Record last updated2011 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
148 family medicine physician records list a practice address in Macon
They are 148 of the 3,715 NPPES records with a practice address in Macon, and 3,951 family medicine physician records in Georgia.
All 3,951 in Georgia → Every provider in Macon → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Florence Baralatei, MDMacon, GA 312061215117551
- William Brooks, M.D.Macon, GA 312061952361123
- Yvette Davis-Smith, MDMacon, GA 312061770559692
- Fred Girton, MDMacon, GA 312061891762720
- Warren Hutchings, MDMacon, GA 312061396844908
- Sarah Matovu, M.D.Macon, GA 312061508832825
- Hugh McLaurin, M.D.Macon, GA 312061487620704
- Ifeoma Njoku, MDMacon, GA 312061508824103
Common questions
What is Paul K. Mathieu, MD's NPI number?
Paul K. Mathieu, MD's National Provider Identifier (NPI) is 1164684205, issued on Jun 30, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Paul K. Mathieu, MD located?
The NPPES record lists a practice address at 3780 Eisenhower Pkwy, Macon, GA, 31206. Phone: (478) 633-5500. Providers update this record themselves, so call before visiting.
How can I verify Paul K. Mathieu, MD's license?
NPPES lists Georgia license number 003028, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Paul K. Mathieu, MD prescribe under Medicare Part D?
In 2024, Paul K. Mathieu, MD had 128 Medicare Part D claims for 63 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Paul K. Mathieu, MD's MIPS final score?
The 2023 MIPS final score is 92.9 of 100. 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.