What is Craig Matherne's specialty?

Craig Matherne (NPI 1215965710) is a Medicare-billing provider whose primary specialty is Family Practice in Johnson City, TN.

Where does Craig Matherne practice?

Craig Matherne practices in Johnson City, TN, based on the location reported in the CMS Medicare provider datasets for NPI 1215965710.

How much does Medicare pay Craig Matherne?

Craig Matherne (NPI 1215965710) received approximately $102K in total Medicare Part B payments, serving 252 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1215965710

Craig MatherneMD

Family PracticeJohnson City, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,037

Unique beneficiaries

—

Total services

2,949

Distinct HCPCS

Medicare payment

$90K

Peer benchmark

Total Medicare services vs. 1,574 Family Practice providers in TN — top quintile (cohort median 965).

PRESCRIBING · PART D · 2024

Total Rx claims

10,424

Beneficiaries

—

Total drug cost

$544K

Distinct drugs

140

Brand share

14.6%

Top prescribed drugs

Atorvastatin Calcium740 claims

Levothyroxine Sodium425 claims

Lisinopril418 claims

Hydrochlorothiazide416 claims

Omeprazole354 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$33

Payment records

By payment type

Food and Beverage$33

Top paying entities

Food and Beverage$33

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 447422

Home health agency

CCN 440063

Hospital

CCN 440184

Hospital

REFERRAL NETWORK

Where Craig Matherne's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 30 inbound referrers · 54 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MOUNTAIN STATES HEALTH ALLIANCE	79	193
Washington County-Johnson City Emergency Medical Services Inc Ambulance Service Provider · Johnson City, TN	64	175
Perry Jernigan Diagnostic Radiology · Johnson City, TN	54	141
Lisa Lull Diagnostic Radiology · Alexandria, VA	43	91
SOLSTAS LAB PARTNERS GROUP LLC	32	163
Randy Hoover Internal Medicine · Johnson City, TN	27	74
Hadi El Bazouni Internal Medicine · Johnson City, TN	27	82
Glen Hatcher Diagnostic Radiology · Johnson City, TN	27	49
Avinash Reddy Diagnostic Radiology · Johnson City, TN	26	58
Jose Picaza Diagnostic Radiology · Johnson City, TN	25	61
Arthur Austin Diagnostic Radiology · Johnson City, TN	23	65
Vincent Becker Diagnostic Radiology · Johnson City, TN	23	54

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
MOUNTAIN STATES HEALTH ALLIANCE	156	654
Washington County-Johnson City Emergency Medical Services Inc Ambulance Service Provider · Johnson City, TN	52	266
Ali Rafai Internal Medicine · Johnson City, TN	48	133
MOUNTAIN STATES HEALTH ALLIANCE	38	117
Lisa Lull Diagnostic Radiology · Alexandria, VA	28	76
Kevin Sweet Internal Medicine · Johnson City, TN	28	73
Perry Jernigan Diagnostic Radiology · Johnson City, TN	27	67
CHUNG, SUE	26	81
Carole White Nurse Practitioner · Johnson City, TN	26	74
Donald Reynolds Diagnostic Radiology · Greenville, SC	26	58
Glen Hatcher Diagnostic Radiology · Johnson City, TN	25	60
Thomas Wooldridge Diagnostic Radiology · Johnson City, TN	24	35

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events