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DR. DAVID L MATHIAS M.D.
NPI 1295714723
Pediatrics in Wausau, WI

Active since January 12, 2006PECOS Enrolled
2727 PLAZA DR, WAUSAU, WI 54401(715) 847-3000 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. David L Mathias M.d. NPPES

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

DR. DAVID L MATHIAS M.D. (NPI 1295714723) is an individual pediatrics provider in Wausau, Wisconsin, licensed in Wisconsin (48863-020) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295714723
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DAVID L MATHIASCredential: M.D.
Location Address2727 PLAZA DRWausau, WI 54401-4129
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Phone(715) 847-3000
Sole ProprietorNo
Enumeration DateJanuary 12, 2006
Last NPPES UpdateNovember 17, 2022
✔ NPI 1295714723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WI · 48863-020✔ Licensed in CO · 43628✔ Licensed in IN · 01053869A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2727 PLAZA DR, Wausau, WI 54401
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Other Identifiers 1

Medicaid34890700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David L 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 Reassignments

2

Medicare enrollment records show David Mathias reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mchs Hospitals Inc
Same address
Internal Medicine
2727 PLAZA DR
Wausau, WI 54401
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
NPI 1164159109 (715) 847-3000
Marshfield Clinic Inc
33 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511

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 54401 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

MS. JACQUELYN FORBES KEARNS MS,ARNP-C
Nurse Practitioner (Adult Health)
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000
ELAINE J. OLSEN CRNA
Nurse Anesthetist, Certified Registered
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000
SWATI S BISWAS MD
Physical Medicine & Rehabilitation
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3042
HEATHER L. LANDWEHR PA
Physician Assistant
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000
JOHN F WEBB MD
Emergency Medicine
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3434
DR. ARTI KHURANA MD
Internal Medicine (Rheumatology)
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000
SARAH S NIELSEN DO
Radiology (Diagnostic Radiology)
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000
THOMAS CRAIG HUPY M.D.
Emergency Medicine
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000

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 David Mathias's NPI number?

The NPI number for David Mathias is 1295714723. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is David Mathias located?

David Mathias practices at 2727 Plaza Dr, Wausau, WI 54401. The listed phone number is (715) 847-3000.

What is David Mathias's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is David Mathias enrolled in Medicare?

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

Which organizations bill Medicare for David Mathias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Mathias reassigns Medicare benefits to 2 organizations: Mchs Hospitals Inc (Wausau, WI) and Marshfield Clinic Inc (Marshfield, WI). 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 David Mathias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Mathias accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and Security Health Plan list David 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 David Mathias was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.