KEITH E MATHENY M.D.
NPI 1205805462
Otolaryngology in Frisco, TX

Q: What is Keith Matheny's NPI number?

The NPI number for Keith Matheny is 1205805462. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Q: What is Keith Matheny's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Matheny was last updated on September 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 March 17, 2006PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

8380 WARREN PARKWAY, SUITE 504, FRISCO, TX 75034(972) 596-4005(972) 985-1253 Get Directions Write a Review

NPPES record last updated: September 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Keith E Matheny M.d. NPPES

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

KEITH E MATHENY M.D. (NPI 1205805462) is an individual otolaryngology provider in Frisco, Texas, licensed in Texas (L5828) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Frisco, and is a graduate of University Of Texas Medical School At Houston (1998).

NPPES Registry Identity

NPI1205805462

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameKEITH E MATHENYCredential: M.D.

Location Address8380 WARREN PARKWAY, SUITE 504Frisco, TX 75034-4197

Mailing Address8380 Warren Parkway, Suite 504Frisco, TX 75034-4197 · (972) 596-4005 · Fax (972) 985-1253

Phone(972) 596-4005

Fax(972) 985-1253

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1998

Enumeration DateMarch 17, 2006

Last NPPES UpdateSeptember 11, 2008

✔ NPI 1205805462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in TX · L5828

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

8380 WARREN PARKWAY, Frisco, TX 75034

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Other Identifiers 1

Medicare UPINH86074TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Keith E Matheny 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 ID840390613

PECOS Enrollment IDI20070709000385

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 14

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 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.

122 services86 patients

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.

52 services45 patients

Removal or destruction of growth of nose through nose 30117

This procedure involves removing or destroying a growth in the nose. It's done through the nostrils, so no external cuts are made. The growth could be a polyp, cyst, or other abnormal tissue. It helps improve breathing and reduces discomfort or other symptoms caused by the growth.

44 services21 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

41 services41 patients

Test for eardrum and muscle function 92550

This test assesses the health of your eardrum and muscles linked to hearing. A small device is placed in your ear that creates pressure changes and sounds. Your ear's responses are recorded to determine if they are functioning properly.

34 services34 patients

Biopsy or removal of nasal polyp or tissue using an endoscope 31237

A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.

31 services28 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

30 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

21 services19 patients

Destruction of soft tissue of nasal passages 30801

Destruction of soft tissue in the nasal passages involves removing or reducing specific tissues in your nose that may be causing problems such as blockages or excessive snoring. The procedure is performed by a medical professional using specialized tools and techniques. It's typically safe and effective.

20 services19 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

20 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 patients

Dilation of nasal sinus using an endoscope 31295

Dilation of the nasal sinus using an endoscope is a procedure to improve sinus drainage. A small tube with a camera, called an endoscope, is inserted into the nose. A balloon is then inflated to widen the sinus openings. This helps to relieve sinus pressure and symptoms.

13 services13 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center - Frisco

Acute Care Hospitals · Frisco, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450853

Location5601 Warren ParkwayFrisco, TX 75034 · Denton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75034 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

92%1,784 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%36 patients5/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

19%73 patients1/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

36%239 patients2/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

78%1,497 patients4/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients tobacco: 84% · 541 patients

96%541 patients4/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

82%239 patients4/55-star benchmark: 100%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

2%239 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers11 claims11 services$26.64 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers14 claims14 services$42.23 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers19 claims114 services$1.61 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

EWEN Y TSENG M.D.

Otolaryngology

8380 WARREN PARKWAY, SUITE 504
FRISCO, TX 75034

Denton County (972) 596-4005

EWEN Y TSENG MD PA

Otolaryngology

8380 WARREN PARKWAY, SUITE 504
FRISCO, TX 75034

Denton County (972) 596-4005

POSITIVE APPROACH COUNSELING

Clinic/Center (Mental Health (Including Community Mental Health Center))

8380 WARREN PARKWAY
FRISCO, TX 75034

Denton County (214) 404-8275

COLLIN COUNTY ENT PA

Otolaryngology

8380 WARREN PARKWAY, SUITE 504
FRISCO, TX 75034

Denton County (972) 596-4005

PATRICIA LYNN REED AUD

Audiologist

8380 WARREN PARKWAY, SUITE 504
FRISCO, TX 75034

Denton County (972) 596-4005

KEITH E. MATHENY, M.D., PLLC

Otolaryngology

8380 WARREN PARKWAY, SUITE 504
FRISCO, TX 75034

Denton County (972) 596-4005

LINDA SKARIAH MATHEW FNP

Nurse Practitioner (Family)

8380 WARREN PARKWAY
FRISCO, TX 75034

Denton County (972) 377-2625

LEANN CAROL LIPMAN MSCC-A

Audiologist

8380 WARREN PARKWAY, SUITE 504
FRISCO, TX 75034

Denton County (972) 596-4005

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 Keith Matheny's NPI number?

The NPI number for Keith Matheny is 1205805462. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Keith Matheny located?

Keith Matheny practices at 8380 Warren Parkway Suite 504, Frisco, TX 75034. The listed phone number is (972) 596-4005.

What is Keith Matheny's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Keith Matheny enrolled in Medicare?

Yes. Keith Matheny 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 Keith Matheny accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Keith Matheny 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 Keith Matheny affiliated with any hospitals?

According to CMS data, Keith Matheny is affiliated with Baylor Scott & White Medical Center - Frisco.

When was this NPI record last updated?

The NPPES record for Keith Matheny was last updated on September 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.