KELLY A MATHES D.O.
NPI 1427462985
Family Medicine in Neenah, WI

Active since June 12, 2014PECOS EnrolledAccepts Medicare Assignment
333 N GREEN BAY RD, NEENAH, WI 54956(920) 729-6088(920) 729-6484 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2021, Oct 26, 2020, Aug 6, 2020 and 3 more (6 updates tracked since 2016).

About Kelly A Mathes D.o. NPPES

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

KELLY A MATHES D.O. (NPI 1427462985) is an individual family medicine provider in Neenah, Wisconsin, licensed in Wisconsin (67780-21) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1427462985
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLY A MATHESCredential: D.O.
Location Address333 N GREEN BAY RDNeenah, WI 54956-1954
Mailing Address333 N Green Bay RdNeenah, WI 54956-1954 · (920) 729-6088 · Fax (920) 729-6484
Fax(920) 729-6484
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 12, 2014
Last NPPES UpdateMarch 29, 20226 updates tracked since enumeration
NPPES CertifiedMarch 29, 2022
NPI 1427462985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 67780-21
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.
333 N GREEN BAY RD, Neenah, WI 54956

Other Names 1

Former Name (1)Kelly A Hunter Do

Secondary Practice Locations 3

Location 11630 Commanche AveGreen Bay, WI 54313-5753 · Phone (920) 430-4700 · Fax (920) 430-4747
Location 21800 Lawrence DrDE Pere, WI 54115-9108 · Phone (920) 983-3220 · Fax (920) 983-3226
Location 33263 Eaton RdGreen Bay, WI 54311-6830 · Phone (920) 433-6700 · Fax (920) 433-6719

Other Identifiers 2

Other1044793358American Board Of Family Medicine
Medicaid100070814WI

Accepted 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

Kelly A Mathes D.o. 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 ID2769608017
PECOS Enrollment IDI20170927002424
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 18

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
127 services89 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
78 services70 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
65 services51 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
64 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services39 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54956 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.

Physician Assistant
333 N GREEN BAY RD
NEENAH, WI 54956
Nurse Practitioner (Family)
333 N GREEN BAY RD
NEENAH, WI 54956
Family Medicine
333 N GREEN BAY RD
NEENAH, WI 54956
Social Worker (Clinical)
333 N GREEN BAY RD
NEENAH, WI 54956
Social Worker
333 N GREEN BAY RD
NEENAH, WI 54956
Nurse Practitioner (Family)
333 N GREEN BAY RD
NEENAH, WI 54956
Physician Assistant
333 N GREEN BAY RD
NEENAH, WI 54956
Pharmacist
333 N GREEN BAY RD
NEENAH, WI 54956

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 Kelly Mathes's NPI number?

The NPI number for Kelly Mathes is 1427462985. It was assigned to this individual provider in the NPPES registry on June 12, 2014. The provider is also known as Kelly A Hunter Do.

Where is Kelly Mathes located?

Kelly Mathes practices at 333 N Green Bay Rd, Neenah, WI 54956. The listed phone number is (920) 729-6088.

What is Kelly Mathes's specialty?

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

Is Kelly Mathes enrolled in Medicare?

Yes. Kelly Mathes 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 Kelly Mathes accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Kelly Mathes 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.

Is Kelly Mathes affiliated with any hospitals?

According to CMS data, Kelly Mathes is affiliated with Thedacare Regional Med Ctr - Neenah and Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Kelly Mathes was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.