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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TORI MATHEWS PA-C
NPI 1194356469
Physician Assistant in Lees Summit, MO

Active since January 27, 2020PECOS Enrolled
85.29/100
CMS Quality Rating
300 SE 2ND ST STE 100, LEES SUMMIT, MO 64063(816) 404-6170 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 8, 2026, Dec 27, 2022, Jan 28, 2022 and 3 more (6 updates tracked since 2020).

About Tori Mathews Pa-c NPPES

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

TORI MATHEWS PA-C (NPI 1194356469) is an individual physician assistant in Lees Summit, Missouri, licensed in Missouri (2021039384) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with University Health Lakewood Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1194356469
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTORI MATHEWSCredential: PA-C
Location Address300 SE 2ND ST STE 100Lees Summit, MO 64063-2759
Mailing Address300 Se 2nd St Ste 100Lees Summit, MO 64063-2759 · (816) 404-6170
Phone(816) 404-6170
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2021
Enumeration DateJanuary 27, 2020
Last NPPES UpdateOctober 8, 20266 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1194356469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MO · 2021039384✔ Licensed in NC · 0010-17141✔ Licensed in VA · 0110012281
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
300 SE 2ND ST STE 100, Lees Summit, MO 64063
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12726 Electric Rd Ste 103Roanoke, VA 24018-3528 · Phone (540) 906-2739
Location 216930 W Catawba Ave Ste 200Cornelius, NC 28031-5639 · Phone (980) 364-2739
Location 3300 W 19th TerKansas City, MO 64108-2026 · Phone (816) 404-5709
Location 443490 Yukon Dr Ste 210Ashburn, VA 20147-6991 · Phone (540) 906-2739

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

Tori Mathews Pa-c 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 ID6800287525
PECOS Enrollment IDI20220106000966
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 2

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services12 patients

Hospital Affiliations CMS Care Compare

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

University Health Lakewood Medical Center

Acute Care Hospitals · Kansas City, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260102
Location7900 Lee's Summit RdKansas City, MO 64139 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64063 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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.

85.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.76
Promoting Interoperability100
Improvement Activities40
Cost46.54

Other Providers at the Same Location NPPES 9

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

CHIKA E OKAFOR
Nurse Practitioner (Psychiatric/Mental Health)
300 SE 2ND ST STE 100
LEES SUMMIT, MO 64063
Jackson County (816) 404-6170
MAHEEN SARAH REHMAN M.D.
Psychiatry & Neurology (Psychiatry)
300 SE 2ND ST STE 100
LEES SUMMIT, MO 64063
Jackson County (816) 404-6170
DR. GARY H BOXER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
300 SE 2ND ST STE 100
LEES SUMMIT, MO 64063
Jackson County (816) 404-6170
JOHANNA ROTEN LCSW
Social Worker
300 SE 2ND ST STE 100
LEES SUMMIT, MO 64063
Jackson County (816) 404-6170
MR. MARC A. WALKER LCSW
Social Worker (Clinical)
300 SE 2ND ST STE 100
LEES SUMMIT, MO 64063
Jackson County (816) 404-6170
DR. REBECCA ANN HENSLEY-WARD PSY.D
Psychologist (Clinical)
300 SE 2ND ST STE 100
LEES SUMMIT, MO 64063
Jackson County (816) 524-5310
MS. MELINDA LEE GUYLES LCSW
Social Worker (Clinical)
300 SE 2ND ST STE 100
LEES SUMMIT, MO 64063
Jackson County (816) 404-6170
MS. BRE'ASIA RAMIREZ
Psychologist (Prescribing (Medical))
300 SE 2ND ST STE 100
LEES SUMMIT, MO 64063
Jackson County (816) 724-8072

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 Tori Mathews's NPI number?

The NPI number for Tori Mathews is 1194356469. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Tori Mathews located?

Tori Mathews practices at 300 SE 2nd St Ste 100, Lees Summit, MO 64063. The listed phone number is (816) 404-6170.

What is Tori Mathews's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tori Mathews enrolled in Medicare?

Yes. Tori Mathews 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 Tori Mathews 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 6 other insurers list Tori Mathews 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 Tori Mathews affiliated with any hospitals?

According to CMS data, Tori Mathews is affiliated with University Health Lakewood Medical Center.

When was this NPI record last updated?

The NPPES record for Tori Mathews was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.