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KRISTA MATHSON O.D.
NPI 1588049605
Optometrist in Chicago, IL

Active since July 30, 2015PECOS EnrolledAccepts Medicare Assignment
1116 W TAYLOR ST, CHICAGO, IL 60607(312) 829-6173 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Krista Mathson O.d. NPPES

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

KRISTA MATHSON O.D. (NPI 1588049605) is an individual optometrist in Chicago, Illinois, licensed in Illinois (046010942) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2015).

NPPES Registry Identity

NPI1588049605
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKRISTA MATHSONCredential: O.D.
Location Address1116 W TAYLOR STChicago, IL 60607-4455
Mailing Address1116 W Taylor StChicago, IL 60607-4455 · (312) 829-6173
Phone(312) 829-6173
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2015
Enumeration DateJuly 30, 2015
Last NPPES UpdateAugust 25, 2016
✔ NPI 1588049605 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 IL · 046010942
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.
1116 W TAYLOR ST, Chicago, IL 60607
Open in Google Maps ↗

Accepted Insurance

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

Krista Mathson 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 ID9638465479
PECOS Enrollment IDI20160906000373
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 Krista Mathson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Village Eye Care Ltd
1.5 mi
Optometrist
1243 S WABASH AVE, UNIT 101
Chicago, IL 60605
  • Reassigned Medicare billing, Illinois enrollment
  • 13 clinicians in this Medicare group
NPI 1477601664 (312) 663-4250

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 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.
41 services36 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.
19 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60607 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES 5

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

VILLAGE EYE CARE LTD
Optometrist
1116 W TAYLOR ST
CHICAGO, IL 60607
Cook County (312) 829-6173
312 OPTICAL LTD
Optometrist
1116 W TAYLOR ST
CHICAGO, IL 60607
Cook County (312) 829-6173
DR. PEPSI SATPAL SARAI O.D.
Optometrist
1116 W TAYLOR ST
CHICAGO, IL 60607
Cook County (312) 829-6173
RACHEL HAE JUNG LEE OD
Optometrist
1116 W TAYLOR ST
CHICAGO, IL 60607
Cook County (312) 829-6173
VILLAGE EYECARE
Optometrist
1116 W TAYLOR ST
CHICAGO, IL 60607
Cook County (312) 829-6173

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 Krista Mathson's NPI number?

The NPI number for Krista Mathson is 1588049605. It was assigned to this individual provider in the NPPES registry on July 30, 2015.

Where is Krista Mathson located?

Krista Mathson practices at 1116 W Taylor St, Chicago, IL 60607. The listed phone number is (312) 829-6173.

What is Krista Mathson's specialty?

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

Is Krista Mathson enrolled in Medicare?

Yes. Krista Mathson 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 Krista Mathson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krista Mathson reassigns Medicare benefits to Village Eye Care Ltd (Chicago, IL). 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 Krista Mathson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krista Mathson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Krista Mathson 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 Krista Mathson was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.