Kelli Dawn Mathew, D.O.
NPI 1386962223ActiveIndividual· Internal Medicine, Pulmonary Disease· Lexington, KY
Internal Medicine, Pulmonary Disease (D.O.) with Community Medical Associates Inc and 1 other group, practicing in Lexington, Kentucky. Their prescriptions cost Medicare Part D more than their services did: $200,042 for 535 claims, against $54,156 paid for services in 2024. Intuitive Surgical, Inc. was the largest of 15 companies reporting payments in 2025, $1,715 in all, mostly food and beverage. Lists Norton Hospitals, Inc and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1386962223 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | May 15, 2010 |
| Last updated in NPPES | Jan 7, 2021 |
| Certified by provider | Jan 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | 03587 | KY |
| Internal Medicine | 207R00000X | 03587 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (IL); Practitioner - Pulmonary Disease (IN); Practitioner - Pulmonary Disease (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 217 |
|---|---|
| Services billed | 617 across 34 procedure codes |
| Paid by Medicare | $54,156 |
Part D prescriptions in 2024
| Prescriptions (claims) | 535 · 653 30-day fills |
|---|---|
| Patients | 116 |
| Total drug cost | $200,042 |
| Generic share | 36% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Critical Care (Intensivists) |
Medical groups
- Community Medical Associates IncMadison, IN · 1,372 clinicians
- St. Claire Medical Center IncMorehead, KY · 189 clinicians
Hospital affiliations
- Norton Hospitals, IncLouisville, KY
- St Claire Regional Medical CenterMorehead, KY
- University of Kentucky HospitalLexington, KY
Industry payments (Open Payments)
- 2025$1,715 · 71 payments from 15 companies
- 2024$144.54 · 7 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Intuitive Surgical, Inc. | $441.57 | 3 |
| Glaxosmithkline, LLC. | $305.68 | 26 |
| Genzyme Corporation | $246.71 | 10 |
| Insmed, Inc. | $113.91 | 5 |
| Regeneron Healthcare Solutions, Inc. | $102.04 | 5 |
What the 2025 payments were for
- Food and Beverage$1,393 · 69 payments
- Travel and Lodging$322.02 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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