TYLER WAYNE MATHENIA
NPI 1033895131
Optometrist in Warrenton, MO

Q: What is Tyler Mathenia's NPI number?

The NPI number for Tyler Mathenia is 1033895131. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Q: What is Tyler Mathenia's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Mathenia was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 23, 2023PECOS EnrolledAccepts Medicare Assignment

514 WARRENTON COUNTY CENTER, WARRENTON, MO 63383(636) 377-2054(636) 377-2056 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tyler Wayne Mathenia NPPES

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

TYLER WAYNE MATHENIA (NPI 1033895131) is an individual optometrist in Warrenton, Missouri, licensed in Missouri (2023021529) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1033895131

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameTYLER WAYNE MATHENIA

Location Address514 WARRENTON COUNTY CENTERWarrenton, MO 63383

Mailing AddressPo Box 207158Dallas, TX 75320-7158 · (636) 200-4393 · Fax (636) 527-0766

Phone(636) 377-2054

Fax(636) 377-2056

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJune 23, 2023

Last NPPES UpdateJune 27, 2023

NPPES CertifiedJune 27, 2023

✔ NPI 1033895131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MO · 2023021529

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

514 WARRENTON COUNTY CENTER, Warrenton, MO 63383

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Tyler Wayne Mathenia 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 ID5799147203

PECOS Enrollment IDI20230816000728

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

31 services30 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

28 services28 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63383 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

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 Tyler Mathenia's NPI number?

The NPI number for Tyler Mathenia is 1033895131. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Where is Tyler Mathenia located?

Tyler Mathenia practices at 514 Warrenton County Center, Warrenton, MO 63383. The listed phone number is (636) 377-2054.

What is Tyler Mathenia's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Tyler Mathenia enrolled in Medicare?

Yes. Tyler Mathenia 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 Tyler Mathenia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 10 other insurers list Tyler Mathenia 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.

When was this NPI record last updated?

The NPPES record for Tyler Mathenia was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.