DR. KEVIN R MATHISSON M.D.
NPI 1326076639
Ophthalmology in Scarsdale, NY

Q: What is Kevin Mathisson's NPI number?

The NPI number for Kevin Mathisson is 1326076639. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is Kevin Mathisson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Mathisson was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 28, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

455 CENTRAL PARK AVE # 317, SCARSDALE, NY 10583(914) 723-2020(914) 723-2011 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 24, 2021, Feb 11, 2021 (2 updates tracked since 2021).

On this page

About Dr. Kevin R Mathisson M.d. NPPES

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

DR. KEVIN R MATHISSON M.D. (NPI 1326076639) is an individual ophthalmology provider in Scarsdale, New York, licensed in New York (198609) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Scarsdale, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1991).

NPPES Registry Identity

NPI1326076639

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. KEVIN R MATHISSONCredential: M.D.

Location Address455 CENTRAL PARK AVE # 317Scarsdale, NY 10583-1060

Mailing Address455 Central Park Ave Ste 317Scarsdale, NY 10583-1060 · (914) 723-2020 · Fax (914) 723-2011

Phone(914) 723-2020

Fax(914) 723-2011

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1991

Enumeration DateJune 28, 2006

Last NPPES UpdateFebruary 24, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2021

✔ NPI 1326076639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NY · 198609

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

455 CENTRAL PARK AVE # 317, Scarsdale, NY 10583

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Secondary Practice Location 1

Location 11075 Central Park Ave, Suite 409Scarsdale, NY 10583-3242 · Phone (914) 723-2020 · Fax (914) 723-2011

Other Identifiers 2

Medicaid1840404NY

Other13-4086556NY · Federal Tax Id#

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin R Mathisson 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 ID9335218163

PECOS Enrollment IDI20080520000672

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 Kevin Mathisson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kevin R Mathisson MD PC

Same address

Ophthalmology

455 CENTRAL PARK AVE STE 317
Scarsdale, NY 10583

Reassigned Medicare billing, New York enrollment
4 clinicians in this Medicare group

NPI 1023288610 (914) 723-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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 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.

641 services628 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.

633 services459 patients

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.

419 services401 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

231 services202 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.

195 services119 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

178 services167 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.

171 services171 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

154 services133 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.

130 services114 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

123 services123 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

44 services36 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

23 services17 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10583 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

75/100

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

Scored as part of a group practice

Other Providers at the Same Location NPPES

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

SABINE KHAN MD

Ophthalmology

455 CENTRAL PARK AVE # 317
SCARSDALE, NY 10583

Westchester County (914) 723-2020

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 Kevin Mathisson's NPI number?

The NPI number for Kevin Mathisson is 1326076639. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Kevin Mathisson located?

Kevin Mathisson practices at 455 Central Park Ave # 317, Scarsdale, NY 10583. The listed phone number is (914) 723-2020.

What is Kevin Mathisson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kevin Mathisson enrolled in Medicare?

Yes. Kevin Mathisson 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.

Which organization bills Medicare for Kevin Mathisson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Mathisson reassigns Medicare benefits to Kevin R Mathisson MD PC (Scarsdale, NY). 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 Kevin Mathisson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Mathisson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health list Kevin Mathisson 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 Kevin Mathisson was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.