ERIC MATHIS DO
NPI 1699238105
Family Medicine in Lawton, OK

Active since April 11, 2019PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
3401 W GORE BLVD, LAWTON, OK 73505(580) 585-5545 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2022, Apr 11, 2019 (2 updates tracked since 2019).

About Eric Mathis Do NPPES

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

ERIC MATHIS DO (NPI 1699238105) is an individual family medicine provider in Lawton, Oklahoma, licensed in Oklahoma (7011) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1699238105
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERIC MATHISCredential: DO
Location Address3401 W GORE BLVDLawton, OK 73505-6332
Mailing Address2403 W Main StHenryetta, OK 74437-3893
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 11, 2019
Last NPPES UpdateSeptember 21, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
NPI 1699238105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 7011
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.
3401 W GORE BLVD, Lawton, OK 73505

Secondary Practice Location 1

Location 16255 Rock Dove AveLas Vegas, NV 89122-3541 · Phone (435) 705-6175

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

Eric Mathis Do 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 ID648673293
PECOS Enrollment IDI20210720003967, I20220722000962
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.

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
59 services27 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
30 services28 patients
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.
21 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370001
Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Hillcrest Hospital Henryetta

Acute Care Hospitals · Henryetta, OK
OwnershipProprietary
CMS Certification Number370183
Location2401 W MainHenryetta, OK 74437 · Okmulgee County
Emergency services

Hillcrest Hospital South

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370202
Location8801 South 101st East AvenueTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73505 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist
3401 W GORE BLVD
LAWTON, OK 73505
Student in an Organized Health Care Education/Training Program
3401 W GORE BLVD
LAWTON, OK 73505
General Practice
3401 W GORE BLVD
LAWTON, OK 73505
Pathology (Anatomic Pathology & Clinical Pathology)
3401 W GORE BLVD
LAWTON, OK 73505
Anesthesiology
3401 W GORE BLVD
LAWTON, OK 73505
Emergency Medicine
3401 W GORE BLVD
LAWTON, OK 73505
Pharmacy (Institutional Pharmacy)
3401 W GORE BLVD
LAWTON, OK 73505
Internal Medicine
3401 W GORE BLVD
LAWTON, OK 73505

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 Eric Mathis's NPI number?

The NPI number for Eric Mathis is 1699238105. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Eric Mathis located?

Eric Mathis practices at 3401 W Gore Blvd, Lawton, OK 73505. The listed phone number is (580) 585-5545.

What is Eric Mathis's specialty?

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

Is Eric Mathis enrolled in Medicare?

Yes. Eric Mathis 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 Eric Mathis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Eric Mathis 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 Eric Mathis affiliated with any hospitals?

According to CMS data, Eric Mathis is affiliated with Hillcrest Medical Center, Saint Francis Hospital, Inc, Hillcrest Hospital Henryetta and Hillcrest Hospital South.

When was this NPI record last updated?

The NPPES record for Eric Mathis was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.