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JAMES A. MATHIS O.D.
NPI 1316098924
Optometrist in Cottonwood, AZ

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
2003 E RODEO DR, COTTONWOOD, AZ 86326(928) 634-4530(928) 634-4532 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James A. Mathis O.d. NPPES

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

JAMES A. MATHIS O.D. (NPI 1316098924) is an individual optometrist in Cottonwood, Arizona, licensed in Arizona (1409) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2004).

NPPES Registry Identity

NPI1316098924
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJAMES A. MATHISCredential: O.D.
Location Address2003 E RODEO DRCottonwood, AZ 86326-5999
Mailing Address1925 E Franquero LnCottonwood, AZ 86326-6905 · (928) 300-9059 · Fax (928) 634-4532
Phone(928) 634-4530
Fax(928) 634-4532
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2004
Enumeration DateJanuary 12, 2007
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1316098924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AZ · 1409
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2003 E RODEO DR, Cottonwood, AZ 86326
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

James A. Mathis O.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 ID4284696642
PECOS Enrollment IDI20050209000225
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 5

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
268 services264 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
220 services214 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
129 services129 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
36 services30 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
30 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86326 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%25 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 4

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

JEFFERY CLARK MANNING PHARMD
Pharmacist
2003 E RODEO DR
COTTONWOOD, AZ 86326
Yavapai County (928) 634-0440
JOHN KASPAR RPH
Pharmacist
2003 E RODEO DR
COTTONWOOD, AZ 86326
Yavapai County (928) 634-0440
WALMART STORES, INC.
Eyewear Supplier
2003 E RODEO DR
COTTONWOOD, AZ 86326
Yavapai County (928) 634-0444
WALMART INC.
Pharmacy (Community/Retail Pharmacy)
2003 E RODEO DR
COTTONWOOD, AZ 86326
Yavapai County (928) 634-0440

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 James Mathis's NPI number?

The NPI number for James Mathis is 1316098924. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is James Mathis located?

James Mathis practices at 2003 E Rodeo Dr, Cottonwood, AZ 86326. The listed phone number is (928) 634-4530.

What is James Mathis's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is James Mathis enrolled in Medicare?

Yes. James Mathis 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 James Mathis accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list James Mathis 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 James Mathis was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.