ANN E MATHIAS D.O.
NPI 1255394185
Family Medicine in Byron Center, MI

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
7751 BYRON CENTER AVE SW, SUITE A, BYRON CENTER, MI 49315(616) 878-3321(616) 878-0858 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ann E Mathias D.o. NPPES

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

ANN E MATHIAS D.O. (NPI 1255394185) is an individual family medicine provider in Byron Center, Michigan, licensed in Michigan (5101012832) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Ohio University, College Of Osteopathic Medicine (1995).

NPPES Registry Identity

NPI1255394185
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANN E MATHIASCredential: D.O.
Location Address7751 BYRON CENTER AVE SW, SUITE AByron Center, MI 49315-8001
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Fax(616) 878-0858
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1995
Enumeration DateApril 11, 2006
Last NPPES UpdateOctober 15, 2012
NPI 1255394185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101012832
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7751 BYRON CENTER AVE SW, Byron Center, MI 49315

Other Names 1

Former Name (1)Ann E Breitweiser

Other Identifiers 4

Medicare UPING85648MI
Medicaid1255394185MI
Medicare PIND16150241MI
Medicare PIN0M74460322MI

Accepted 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

Ann E Mathias D.o. 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 ID5294775235
PECOS Enrollment IDI20170306000854
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.
27 services24 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49315 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$13.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$61.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
7751 BYRON CENTER AVE SW, STE. A
BYRON CENTER, MI 49315
Internal Medicine (Geriatric Medicine)
7751 BYRON CENTER AVE SW, SUITE C
BYRON CENTER, MI 49315
Physical Therapist
7751 BYRON CENTER AVE SW, SUITE B
BYRON CENTER, MI 49315
Nurse Practitioner
7751 BYRON CENTER AVE SW, SUITE C
BYRON CENTER, MI 49315
Nurse Practitioner (Gerontology)
7751 BYRON CENTER AVE SW, SUITE C
BYRON CENTER, MI 49315
Family Medicine
7751 BYRON CENTER AVE SW, SUITE A
BYRON CENTER, MI 49315
Physical Therapist
7751 BYRON CENTER AVE SW, SUITE B
BYRON CENTER, MI 49315
Family Medicine (Geriatric Medicine)
7751 BYRON CENTER AVE SW, SUITE C
BYRON CENTER, MI 49315

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 Ann Mathias's NPI number?

The NPI number for Ann Mathias is 1255394185. It was assigned to this individual provider in the NPPES registry on April 11, 2006. The provider is also known as Ann E Breitweiser.

Where is Ann Mathias located?

Ann Mathias practices at 7751 Byron Center Ave SW Suite A, Byron Center, MI 49315. The listed phone number is (616) 878-3321.

What is Ann Mathias's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ann Mathias enrolled in Medicare?

Yes. Ann 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.

What insurance does Ann Mathias accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Ann 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 Ann Mathias was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.