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DR. ROBERT T. MATHIS M.D.
NPI 1013087303
Obstetrics & Gynecology in Lihue, HI

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
83.15/100
CMS Quality Rating
3-3420 KUHIO HWY, SUITE B, LIHUE, HI 96766(808) 245-1500(808) 246-1364 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Robert T. Mathis M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT T. MATHIS M.D. (NPI 1013087303) is an individual obstetrics & gynecology provider in Lihue, Hawaii, licensed in Hawaii (MD-10667) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and is a graduate of St. Louis College Of Physicians And Surgeons (1997).

NPPES Registry Identity

NPI1013087303
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. ROBERT T. MATHISCredential: M.D.
Location Address3-3420 KUHIO HWY, SUITE BLihue, HI 96766-1098
Mailing Address3-3420 Kuhio Hwy., Suite BLihue, HI 96766-1098 · (808) 245-1500 · Fax (808) 246-1364
Phone(808) 245-1500
Fax(808) 246-1364
Sole ProprietorNo
Medical School CMSSt. Louis College Of Physicians And SurgeonsGraduated 1997
Enumeration DateNovember 8, 2006
Last NPPES UpdateAugust 4, 2011
✔ NPI 1013087303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in HI · MD-10667
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3-3420 KUHIO HWY, Lihue, HI 96766
Open in Google Maps ↗

Other Identifiers 5

Other285356HI · Uha
Medicare PIN101134HI
Other0000256610HI · Hmsa
Medicare UPINI47069HI
Medicaid575350 01HI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert T. Mathis M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193747053
PECOS Enrollment IDI20051220000965
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96766 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.12
Promoting Interoperability100
Improvement Activities40
Cost69.73

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT J. CONRAD M.D.
Emergency Medicine
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Kauai County (808) 245-1500
DR. SUMMER DOUBAN M.D.
Hospitalist
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Kauai County (808) 245-1100
DR. JAMES O. SCAMAHORN M.D.
Emergency Medicine
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Kauai County (808) 245-1010
DR. JOHN JAMES CULLINEY M.D.
Radiology (Diagnostic Radiology)
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Kauai County (808) 245-1293
DANIELLE HILL MSN, RN
Registered Nurse (Diabetes Educator)
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Kauai County (808) 246-1380
DR. DAVID ROBERT MCDONALD MD
Obstetrics & Gynecology
3-3420 KUHIO HWY
LIHUE, HI 96766
Kauai County (808) 245-1511
DR. MICHAEL D. JOHNSTON M.D.
Anesthesiology
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Kauai County (808) 245-1020
DR. LUKE CARLOS FORNARI M.D.
Internal Medicine
3-3420 KUHIO HWY
LIHUE, HI 96766
Kauai County (808) 245-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Mathis's NPI number?

The NPI number for Robert Mathis is 1013087303. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Robert Mathis located?

Robert Mathis practices at 3-3420 Kuhio Hwy Suite B, Lihue, HI 96766. The listed phone number is (808) 245-1500.

What is Robert Mathis's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Robert Mathis enrolled in Medicare?

Yes. Robert Mathis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Mathis accept?

Health plans from HMSA list Robert Mathis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robert Mathis affiliated with any hospitals?

According to CMS data, Robert Mathis is affiliated with Wilcox Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Robert Mathis was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.