RODERICK MATHIS
NPI 1396882833
Dentist - General Practice in Winter Garden, FL

Q: What is Roderick Mathis's NPI number?

The NPI number for Roderick Mathis is 1396882833. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Q: What is Roderick Mathis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Roderick Mathis was last updated on March 26, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 01, 2007PECOS Enrolled

13275 W COLONIAL DR, SUITE 200, WINTER GARDEN, FL 34787(407) 905-8827(407) 654-4528 Get Directions Write a Review

NPPES record last updated: March 26, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Roderick Mathis NPPES

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

RODERICK MATHIS (NPI 1396882833) is an individual general practice provider in Winter Garden, Florida, licensed in Florida (13831) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396882833

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameRODERICK MATHIS

Location Address13275 W COLONIAL DR, SUITE 200Winter Garden, FL 34787-3984

Mailing Address110 S Woodland StWinter Garden, FL 34787-3546 · (407) 905-8827 · Fax (407) 654-4528

Phone(407) 905-8827

Fax(407) 654-4528

Sole ProprietorNo

Enumeration DateFebruary 1, 2007

Last NPPES UpdateMarch 26, 2014

✔ NPI 1396882833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · 13831

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

13275 W COLONIAL DR, Winter Garden, FL 34787

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Other Identifiers 1

Medicaid004389000FL

Accepted Insurance

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

Roderick Mathis 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34787 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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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.

KATHLEEN THU NGUYEN D.M.D

Dentist (General Practice)