KEVIN R MATHISSON MD PC
NPI 1023288610
Ophthalmology in Scarsdale, NY

Q: What is Kevin R Mathisson MD PC's NPI number?

The NPI number for Kevin R Mathisson MD PC is 1023288610. It was assigned to this organization in the NPPES registry on March 10, 2008.

Q: What is Kevin R Mathisson MD PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since March 10, 2008

455 CENTRAL PARK AVE STE 317, SCARSDALE, NY 10583(914) 723-2020(914) 723-2011 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2021, Feb 11, 2021, Feb 25, 2016 (3 updates tracked since 2016).

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About Kevin R Mathisson Md Pc NPPES

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

KEVIN R MATHISSON MD PC (NPI 1023288610) is a healthcare organization registered as an ophthalmology in Scarsdale, New York and active in the NPI registry since March 2008. The organization lists Kevin R Mathisson, President, as its authorized official.

NPPES Registry Identity

NPI1023288610

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameKEVIN R MATHISSON MD PC

Location Address455 CENTRAL PARK AVE STE 317Scarsdale, NY 10583-1060

Mailing Address455 Central Park Ave Ste 317Scarsdale, NY 10583-1060 · (914) 723-2020 · Fax (914) 723-2011

Phone(914) 723-2020

Fax(914) 723-2011

Organization SubpartNo

Authorized OfficialKevin R MathissonPresident · (914) 723-2020

Enumeration DateMarch 10, 2008

Last NPPES UpdateJuly 1, 20263 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1023288610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NY · 198609

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

455 CENTRAL PARK AVE STE 317, Scarsdale, NY 10583

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin R Mathisson Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Kevin R Mathisson MD PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Thomas Dunn, MD

Ophthalmology

NPI 1861131765

455 CENTRAL PARK AVE STE 317
Scarsdale, NY 10583

(914) 723-2020

✔ PECOS✔ Accepts MedicareSame address

Sabine Khan, MD

Ophthalmology

NPI 1275915845

455 CENTRAL PARK AVE # 317
Scarsdale, NY 10583

(914) 723-2020

✔ PECOS✔ Accepts MedicareSame address

Kevin Mathisson, M.D.

Ophthalmology

NPI 1326076639

455 CENTRAL PARK AVE # 317
Scarsdale, NY 10583

(914) 723-2020

✔ PECOS✔ Accepts MedicareSame address

Carol Lundin, MD

Ophthalmology

NPI 1437180049

24 SAW MILL RIVER ROAD HUDSON VALLEY EYE ASSOICATES
Hawthorne, NY 10532

(914) 345-3937

✔ PECOS✔ Accepts Medicare5.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kevin R Mathisson MD PC's NPI number?

The NPI number for Kevin R Mathisson MD PC is 1023288610. It was assigned to this organization in the NPPES registry on March 10, 2008.

Where is Kevin R Mathisson MD PC located?

Kevin R Mathisson MD PC is located at 455 Central Park Ave Ste 317, Scarsdale, NY 10583. The listed phone number is (914) 723-2020.

What is Kevin R Mathisson MD PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kevin R Mathisson MD PC enrolled in Medicare?

Yes. Kevin R Mathisson MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kevin R Mathisson MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Kevin R Mathisson MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kevin R Mathisson MD PC was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.