MARC T. MATHIAS M.D.
NPI 1073774121
Ophthalmology - Retina Specialist in Aurora, CO
About Marc T. Mathias M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARC T. MATHIAS M.D. (NPI 1073774121) is an individual retina specialist in Aurora, Colorado, licensed in Colorado (DR.0051109) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2008).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marc T. Mathias 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.
Medicare Billing Reassignments
2Medicare enrollment records show Marc Mathias reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Aurora, CO 80045
- Reassigned Medicare billing, Colorado enrollment
- 4,283 clinicians in this Medicare group
Denver, CO 80204
- Reassigned Medicare billing, Colorado enrollment
- 2,259 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 12
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Marc Mathias's NPI number?
The NPI number for Marc Mathias is 1073774121. It was assigned to this individual provider in the NPPES registry on June 20, 2008.
Where is Marc Mathias located?
Marc Mathias practices at 12605 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.
What is Marc Mathias's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is Marc Mathias enrolled in Medicare?
Yes. Marc Mathias 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.
Which organizations bill Medicare for Marc Mathias's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marc Mathias reassigns Medicare benefits to 2 organizations: University Physicians Incorporated (Aurora, CO) and Denver Health And Hospital Authority (Denver, CO). Each 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 Marc Mathias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marc Mathias accept?
Health plans from Select Health list Marc Mathias 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 Marc Mathias was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Marc T. Mathias, M.D. · NPI 1073774121
Retina Specialist physician in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since June 20, 2008.
## Identity
- **NPI:** 1073774121 (Entity type: Individual)
- **Enumerated:** June 20, 2008
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **State license:** DR.0051109 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 12605 E 16TH AVE, Aurora, CO 80045-2545
- **Phone:** (720) 848-0000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Physicians Incorporated (NPI 1962461889, Aurora, CO); Denver Health And Hospital Authority (NPI 1477569838, Denver, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 2008
## Record status
- **NPPES last updated:** April 6, 2017
- **Other identifiers:** Medicare PIN COA107750 (CO); Medicaid 61950076 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1073774121) · Data from the CMS NPPES public registry.