DR. JACQUELYN P MATHEWS D.M.D.
NPI 1649527730
Dentist - General Practice in Peoria, AZ

Active since August 08, 2012Opted out of Medicare · through Apr 24, 2027
28451 N VISTANCIA BLVD, SUITE 101, PEORIA, AZ 85383(623) 218-6638 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jacquelyn P Mathews D.m.d. NPPES

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

DR. JACQUELYN P MATHEWS D.M.D. (NPI 1649527730) is an individual general practice provider in Peoria, Arizona, licensed in Wisconsin (6966-15) and active in the NPI registry since August 2012. She has opted out of Medicare through April 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649527730
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACQUELYN P MATHEWSCredential: D.M.D.
Location Address28451 N VISTANCIA BLVD, SUITE 101Peoria, AZ 85383-2090
Mailing Address1008 E Brentrup DrTempe, AZ 85283-4782 · (480) 861-5338
Sole ProprietorNo
Enumeration DateAugust 8, 2012
Last NPPES UpdateFebruary 19, 2015
NPI 1649527730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 6966-15
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.
28451 N VISTANCIA BLVD, Peoria, AZ 85383

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jacquelyn P Mathews D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 24, 2017 through April 24, 2027.

Opt-Out Effective DateApril 24, 2017
Opt-Out In Effect ThroughApril 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85383 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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 Jacquelyn Mathews's NPI number?

The NPI number for Jacquelyn Mathews is 1649527730. It was assigned to this individual provider in the NPPES registry on August 8, 2012.

Where is Jacquelyn Mathews located?

Jacquelyn Mathews practices at 28451 N Vistancia Blvd Suite 101, Peoria, AZ 85383. The listed phone number is (623) 218-6638.

What is Jacquelyn Mathews's specialty?

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

Is Jacquelyn Mathews enrolled in Medicare?

No. Jacquelyn Mathews has opted out of Medicare through April 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jacquelyn Mathews accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Jacquelyn Mathews 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 Jacquelyn Mathews was last updated on February 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.