Dr. Edward J. Matheis
- Gender: Male
- Experience: 33 years
- Graduated from: University Of Texas Medical Branch At Galveston
- Graduation year: 1988
- Sole propriator: No
- NPI: 1316952187
Dr. Edward J. Matheis M.D.
Pulmonologist
He is located at 3000 New Bern Avenue in Raleigh, NC 27610. Can help patients with the following: Collapsed Lung, Embolism, Fever, Heart Disease, Hot Flashes, Pulmonary Fibrosis (PF). His National Provider Identifier (NPI) number is 1316952187. Appointment can be made via the phone number (919) 232-5202. He is affiliated with 1 practices and 1 hospitals.
Conditions treated
Dr. Edward John Matheis, being an pulmonologist, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Edward J. Matheis.
- Abdominal Pain
- Acute Pain
- Alpha-1 Antitrypsin Deficiency (AATD)
- Anemia
- Arthritis
- Asbestosis
- Asthma
- Atherosclerosis
- Bladder Control
- Blood Clots
- Bronchiectasis
- Bronchitis
- Chest Pain
- Cholecystitis
- Chronic Cough
- Chronic Obstructive Pulmonary Disease (COPD)
- Collapsed Lung
- Common Cold
- Constipation
- Cryptococcosis
- Cystic Fibrosis (CF)
- Cystitis
- Diarrhea
- Edema
- Embolism
- Emphysema
- Fever
- Gastroesophageal Reflux Disease (GERD)
- General Care
- Headache
- Heart Disease
- Hiatal Hernia
- High Blood Pressure
- Hot Flashes
- Hyperlipidemia
- Hyponatremia
- Influenza
- Inguinal Hernia
- Lung Cancer
- Migraine
- Nausea and Vomiting
- Obesity
- Osteoporosis
- Peptic Ulcer
- Pleural Effusion
- Pleurisy
- Pneumonia
- Prescription Refill
- Pulmonary Aspiration
- Pulmonary Embolism (PE)
- Pulmonary Fibrosis (PF)
- Pulmonary Hypertension (PH)
- Sarcoidosis
- Sleep Apnea
- Sleep Disorders
- Smoking and Quitting Smoking
- Tuberculosis (TB)
- Urethritis
- Urinary Tract Infection (UTI)
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Edward J. Matheis as in-network for the following 2026 plans.
Health plans
Ambetter of North Carolina
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 29 plans from Ambetter of North Carolina
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Clear Silver with $0 Insulin Options | HMO · Silver | Preferred | Accepting new patients |
| Complete Gold | HMO · Gold | Preferred | Accepting new patients |
| Complete Gold + Vision + Adult Dental | HMO · Gold | Preferred | Accepting new patients |
| Complete Gold with Atrium Health | HMO · Gold | Preferred | Accepting new patients |
| Complete Gold with Atrium Health + Vision + Adult Dental | HMO · Gold | Preferred | Accepting new patients |
| Elite Bronze | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Elite Bronze + Vision + Adult Dental | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Elite Bronze with Atrium Health | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Elite Bronze with Atrium Health + Vision + Adult Dental | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options | HMO · Silver | Preferred | Accepting new patients |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental | HMO · Silver | Preferred | Accepting new patients |
| Everyday Bronze | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Everyday Bronze + Vision + Adult Dental | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Everyday Bronze with Atrium Health | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Everyday Bronze with Atrium Health + Vision + Adult Dental | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Focused Silver with Atrium Health | HMO · Silver | Preferred | Accepting new patients |
| Focused Silver with Atrium Health + Vision + Adult Dental | HMO · Silver | Preferred | Accepting new patients |
| Standard Expanded Bronze | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Standard Expanded Bronze + Vision + Adult Dental | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Standard Expanded Bronze with Atrium Health | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Standard Expanded Bronze with Atrium Health + Vision + Adult Dental | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Standard Gold | HMO · Gold | Preferred | Accepting new patients |
| Standard Gold + Vision + Adult Dental | HMO · Gold | Preferred | Accepting new patients |
| Standard Gold with Atrium Health | HMO · Gold | Preferred | Accepting new patients |
| Standard Gold with Atrium Health + Vision + Adult Dental | HMO · Gold | Preferred | Accepting new patients |
| Standard Silver | HMO · Silver | Preferred | Accepting new patients |
| Standard Silver + Vision + Adult Dental | HMO · Silver | Preferred | Accepting new patients |
| Standard Silver with Atrium Health | HMO · Silver | Preferred | Accepting new patients |
| Standard Silver with Atrium Health + Vision + Adult Dental | HMO · Silver | Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Edward J. Matheis is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Edward J. Matheis is enrolled to bill Medicare as a Practitioner - Pulmonary Disease (also registered under: Practitioner - Critical Care (intensivists)) .
Bills through: Hospitalist Solution Pllc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Henry Schein | $161 |
| Boehringer Ingelheim | $122 |
| Genentech | $117 |
Other
| Food and Beverage | $351 |
| Other | $161 |
Studies
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated in 1988Additional Specialities
- Internist
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Questions & Answers
Where can you meet with Dr. Edward John Matheis?
Dr. Edward John Matheis's office is located at 3000 New Bern Avenue in Raleigh, NC 27610.
Does Dr. Edward John Matheis accept insurance?
Dr. Edward John Matheis is listed in-network for 29 ACA Marketplace (Obamacare/HealthCare.gov) plans from Ambetter of North Carolina. See the Marketplace plans section for details.
What conditions does Dr. Edward John Matheis treat?
Dr. Edward John Matheis provides treatment for Collapsed Lung, Embolism, Fever, Heart Disease, Hot Flashes, Pulmonary Fibrosis (PF). For the full list see this list.
Does Dr. Edward John Matheis have affiliation with practices?
Dr. Edward John Matheis is affiliated with Wake Specialty Physicians.
Has Dr. Edward John Matheis affiliation with hospitals?
Dr. Edward John Matheis is affiliated with WAKEMED, RALEIGH CAMPUS.