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DR. LYNN LOUISE MATHIA D.O.
NPI 1689672529
Surgery in Clinton Twp, MI

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
37399 GARFIELD RD, SUITE 204, CLINTON TWP, MI 48036(586) 421-4204(586) 421-4222 Get Directions Write a Review

NPPES record last updated: December 9, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lynn Louise Mathia D.o. NPPES

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

DR. LYNN LOUISE MATHIA D.O. (NPI 1689672529) is an individual surgery provider in Clinton Twp, Michigan, licensed in Michigan (011684) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Rochester Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (1992).

NPPES Registry Identity

NPI1689672529
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. LYNN LOUISE MATHIACredential: D.O.
Location Address37399 GARFIELD RD, SUITE 204Clinton Twp, MI 48036-3672
Mailing Address37399 Garfield Rd, Suite 204Clinton Twp, MI 48036-3672 · (586) 421-4204 · Fax (586) 421-4222
Phone(586) 421-4204
Fax(586) 421-4222
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1992
Enumeration DateJuly 13, 2005
Last NPPES UpdateDecember 9, 2009
✔ NPI 1689672529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 011684
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
37399 GARFIELD RD, Clinton Twp, MI 48036
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Other Names 1

Former Name (1)Lynn Louise Oztalay D.o.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Lynn Louise Mathia 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 ID8426957556
PECOS Enrollment IDI20040107000642
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 Reassignments

2

Medicare enrollment records show Lynn Mathia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Michigan Healthcare Professionals, P.C.
8.5 mi
Urgent Care
27650 DEQUINDRE RD STE 1200
Warren, MI 48092
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Michigan Healthcare Professionals PC
  • 741 clinicians in this Medicare group
NPI 1568285872 (248) 544-9050
Henry Ford Health Rochester Hospital
12 mi
Family Medicine
1101 W UNIVERSITY DR
Rochester, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 66 clinicians in this Medicare group
NPI 1184747263 (248) 652-5000

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 10

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 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.
60 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services26 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.
35 services28 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.
30 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services29 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48036 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 13

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

JOSEPH C. O'LAUGHLIN D.O.
Internal Medicine (Gastroenterology)
37399 GARFIELD RD, SUITE 104
CLINTON TOWNSHIP, MI 48036
Macomb County (586) 286-5400
SAMUEL H. GUN D.O.
Internal Medicine (Gastroenterology)
37399 GARFIELD RD, SUITE 104
CLINTON TOWNSHIP, MI 48036
Macomb County (586) 286-5400
HASSAN I BAYDOUN M.D.
Internal Medicine (Rheumatology)
37399 GARFIELD RD, STE 106
CLINTON TOWNSHIP, MI 48036
Macomb County (734) 712-3980
DR. LISA LANGENBURG MD
Family Medicine
37399 GARFIELD RD, SUITE 203
CLINTON TWP, MI 48036
Macomb County (586) 228-3991
BRUCE S. KOVAN D.O.
Internal Medicine (Gastroenterology)
37399 GARFIELD RD, SUITE 104
CLINTON TOWNSHIP, MI 48036
Macomb County (586) 286-5400
TRI-COUNTY GASTROENTEROLOGY, PC
Internal Medicine (Gastroenterology)
37399 GARFIELD RD, SUITE 104
CLINTON TOWNSHIP, MI 48036
Macomb County (586) 286-5400
STEPHANIE L SMILEY PHYSICIAN ASST C
Physician Assistant
37399 GARFIELD RD, STE 104
CLINTON TWP, MI 48036
Macomb County (586) 286-5400
LPRLS, PLC
Clinic/Center (Medical Specialty)
37399 GARFIELD RD, SUITE 203
CLINTON TOWNSHIP, MI 48036
Macomb County (586) 228-2911

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 Lynn Mathia's NPI number?

The NPI number for Lynn Mathia is 1689672529. It was assigned to this individual provider in the NPPES registry on July 13, 2005. The provider is also known as Lynn Louise Oztalay D.O..

Where is Lynn Mathia located?

Lynn Mathia practices at 37399 Garfield Rd Suite 204, Clinton Twp, MI 48036. The listed phone number is (586) 421-4204.

What is Lynn Mathia's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Lynn Mathia enrolled in Medicare?

Yes. Lynn Mathia 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 organizations bill Medicare for Lynn Mathia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynn Mathia reassigns Medicare benefits to 2 organizations: Michigan Healthcare Professionals, P.C. (Warren, MI) and Henry Ford Health Rochester Hospital (Rochester, MI). Each 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 Lynn Mathia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lynn Mathia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Lynn Mathia 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 Lynn Mathia affiliated with any hospitals?

According to CMS data, Lynn Mathia is affiliated with Ascension Providence Rochester Hospital.

When was this NPI record last updated?

The NPPES record for Lynn Mathia was last updated on December 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.