NPPES file of Aug 9, 2026

Scott C. Matherly, M.D.

Gastroenterology Physician · Richmond, VA

Scott C. Matherly, M.D. is a gastroenterology physician with a practice address in Richmond, Virginia, and NPI 1225171234, issued on Feb 15, 2007. Check the license (Virginia 0101249186, as entered in NPPES) on the Virginia Department of Health Professions; 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
1225171234
Name
Scott C. Matherly
Credential
M.D.
Primary taxonomy
Gastroenterology Physician 207RG0100X
License number
0101249186 VA
Self-reported in NPPES; status is on the state search
Practice location
1250 E Marshall St, Richmond, VA 23298
Phone
(804) 828-4060
Enumerated
Feb 15, 2007
Record last updated
Jul 5, 2013 (not updated in 13 years: call before relying on the address or phone)
Fax
(804) 828-5348
Medicare enrollment
Enrolled (PECOS I20140326002371); accepts Medicare assignment
Medical or professional school
University Of South Carolina School Of Medicine, 2006
Telehealth
Offers telehealth (CMS)
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 1250 E Marshall St

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

  1. Joseph Niel AbapoStudent in an Organized Health Care Education/Training Program1578376919
  2. Linda Abbey, M.D.Family Medicine Physician1366528028
  3. Adel Abdallah, MDNeonatal-Perinatal Medicine Physician1386670354
  4. Troy AbernathyPediatrics Physician1508075078
  5. Michel Aboutanos, M.D.Surgery Physician1518040682
  6. Jennifer Accardo, MDPediatrics Physician1386709459

Verify Scott C. Matherly in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101249186
    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 Virginia 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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81% more Medicare Part D claims than the average gastroenterology physician in 2024

1,465 Medicare Part D claims for 169 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims. 20 claims were for opioids.

  1. Scott Matherly1,465
  2. Specialty average811

Most prescribed

  1. Tacrolimus167 claims
  2. Furosemide105 claims
  3. Spironolactone92 claims
  4. Lactulose84 claims
  5. Pantoprazole Sodium82 claims
  6. Ursodiol68 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): 76.2 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 score64.6
  2. Costout of 100 · 30%56.2
  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: $403.53

8 payments; by number, the most common kind was food and beverage; the largest payer was Galvanize Therapeutics, Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Scott Matherly$403.53
  2. Specialty average$5,015.95

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

Bills Medicare through one group practice

  1. Mcv Associated PhysiciansRichmond, VA

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

Scott C. Matherly among 536 gastroenterology physician records in Virginia

Scott C. Matherly, M.D. is one of 536 gastroenterology physician records with a practice address in Virginia. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 54% of them.

  • NPI issued2007 · 54% of these records are older, 35% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 73% of these records are
  • Graduated2006 · median 2001 among the 389 with a school on file
  • Record last updated2013 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gastroenterology Physician providers in Virginia

There are 536 gastroenterology physician records in Virginia.

The 8 gastroenterology physician records with the nearest ZIP codes

  1. Jasmohan Bajaj, MDRichmond, VA 232981467403881
  2. Stephen Bickston, M.D.Richmond, VA 232981467586826
  3. Doumit Bouhaidar, M.D.Richmond, VA 232981720172034
  4. Iliana Bouneva, MDRichmond, VA 232981770591166
  5. Michael Fuchs, M.D.Richmond, VA 232981487730420
  6. John Kuemmerle, M.D.Richmond, VA 232981356431902
  7. Hannah Lee, MDRichmond, VA 232981275570988
  8. Velimir Luketic, M.D.Richmond, VA 232981811081128

Common questions

What is Scott C. Matherly, M.D.'s NPI number?

Scott C. Matherly, M.D.'s National Provider Identifier (NPI) is 1225171234, issued on Feb 15, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Scott C. Matherly, M.D. located?

The NPPES record lists a practice address at 1250 E Marshall St, Richmond, VA, 23298. Phone: (804) 828-4060. Providers update this record themselves, so call before visiting.

How can I verify Scott C. Matherly, M.D.'s license?

NPPES lists Virginia license number 0101249186, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Scott C. Matherly, M.D. prescribe under Medicare Part D?

In 2024, Scott C. Matherly, M.D. had 1,465 Medicare Part D claims for 169 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.

What is Scott C. Matherly, M.D.'s MIPS final score?

The 2023 MIPS final score is 76.2 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.