LAUREN CATHERINE MATHIAS
NPI 1467017533
Physician Assistant in Somerset, PA

Active since May 04, 2019PECOS EnrolledAccepts Medicare Assignment
87.19/100
CMS Quality Rating
329 S PLEASANT AVE, SOMERSET, PA 15501(814) 445-3575 Get Directions Write a Review

NPPES record last updated: May 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lauren Catherine Mathias NPPES

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

LAUREN CATHERINE MATHIAS (NPI 1467017533) is an individual physician assistant in Somerset, Pennsylvania and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Upmc Somerset, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1467017533
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN CATHERINE MATHIAS
Location Address329 S PLEASANT AVESomerset, PA 15501-2262
Mailing Address109 Mountain Laurel LnGarrett, PA 15542-8205 · (814) 926-3361
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 4, 2019
NPI 1467017533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
329 S PLEASANT AVE, Somerset, PA 15501

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

Lauren Catherine Mathias 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 ID6406186949
PECOS Enrollment IDI20190925002261
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 3

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 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.
141 services81 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.
72 services42 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Upmc Somerset

Acute Care Hospitals · Somerset, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390039
Location225 South Center AvenueSomerset, PA 15501 · Somerset County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15501 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

87.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.3
Promoting Interoperability100
Improvement Activities40
Cost67.99

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers13 claims17 services$5.03 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.47 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers25 claims25 services$40.55 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$112.26 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Physician Assistant
329 S PLEASANT AVE
SOMERSET, PA 15501
Physician Assistant (Medical)
329 S PLEASANT AVE
SOMERSET, PA 15501
Nurse Practitioner (Family)
329 S PLEASANT AVE
SOMERSET, PA 15501
Family Medicine
329 S PLEASANT AVE
SOMERSET, PA 15501
Family Medicine
329 S PLEASANT AVE
SOMERSET, PA 15501
Nurse Practitioner (Family)
329 S PLEASANT AVE
SOMERSET, PA 15501
Family Medicine
329 S PLEASANT AVE, SOMERSET HOSPITAL
SOMERSET, PA 15501
Family Medicine
329 S PLEASANT AVE
SOMERSET, PA 15501

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 Lauren Mathias's NPI number?

The NPI number for Lauren Mathias is 1467017533. It was assigned to this individual provider in the NPPES registry on May 4, 2019.

Where is Lauren Mathias located?

Lauren Mathias practices at 329 S Pleasant Ave, Somerset, PA 15501. The listed phone number is (814) 445-3575.

What is Lauren Mathias's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lauren Mathias enrolled in Medicare?

Yes. Lauren Mathias 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.

Is Lauren Mathias affiliated with any hospitals?

According to CMS data, Lauren Mathias is affiliated with Upmc Somerset.

When was this NPI record last updated?

The NPPES record for Lauren Mathias was last updated on May 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.