DR. CLAUDIA MATHIAS M.D.
NPI 1285754721
Family Medicine in Hampton, VA

Active since March 29, 2007PECOS Enrolled
100 EMANCIPATION DR, HAMPTON, VA 23667(757) 722-9961 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 4, 2020, May 9, 2020, Oct 2, 2018 (3 updates tracked since 2018).

About Dr. Claudia Mathias M.d. NPPES

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

DR. CLAUDIA MATHIAS M.D. (NPI 1285754721) is an individual family medicine provider in Hampton, Virginia, licensed in Virginia (0101266319) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285754721
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CLAUDIA MATHIASCredential: M.D.
Location Address100 EMANCIPATION DRHampton, VA 23667-1115
Mailing Address100 Emancipation DrHampton, VA 23667-0001 · (757) 722-9961
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateAugust 4, 20203 updates tracked since enumeration
NPPES CertifiedAugust 4, 2020
✔ NPI 1285754721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VA · 0101266319✔ Licensed in NJ · 25MA08159100
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.
100 EMANCIPATION DR, Hampton, VA 23667

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Claudia Mathias M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Claudia Mathias reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23667 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

Registered Nurse
100 EMANCIPATION DR
HAMPTON, VA 23667
Social Worker (Clinical)
100 EMANCIPATION DR
HAMPTON, VA 23667
Pharmacy Technician
100 EMANCIPATION DR
HAMPTON, VA 23667
Internal Medicine
100 EMANCIPATION DR
HAMPTON, VA 23667
Kinesiotherapist
100 EMANCIPATION DR
HAMPTON, VA 23667
Social Worker
100 EMANCIPATION DR
HAMPTON, VA 23667
Social Worker (Clinical)
100 EMANCIPATION DR
HAMPTON, VA 23667
Family Medicine
100 EMANCIPATION DR
HAMPTON, VA 23667

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 Claudia Mathias's NPI number?

The NPI number for Claudia Mathias is 1285754721. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Claudia Mathias located?

Claudia Mathias practices at 100 Emancipation Dr, Hampton, VA 23667. The listed phone number is (757) 722-9961.

What is Claudia Mathias's specialty?

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

Is Claudia Mathias enrolled in Medicare?

Yes. Claudia Mathias is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Claudia Mathias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudia Mathias reassigns Medicare benefits to Barnabas Health Medical Group PC (Elizabeth, NJ). The 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 Claudia Mathias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Claudia Mathias was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.