DENISE MICHELLE MATHIS
NPI 1710224217
Nurse Practitioner - Family in Spartanburg, SC

Q: What is Denise Mathis's NPI number?

The NPI number for Denise Mathis is 1710224217. It was assigned to this individual provider in the NPPES registry on January 3, 2013.

Q: What is Denise Mathis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Denise Mathis was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 03, 2013PECOS Enrolled

2660 REIDVILLE RD UNIT 1, SPARTANBURG, SC 29301(864) 560-9696 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2019, Oct 4, 2019, Jul 15, 2019 (3 updates tracked since 2019).

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About Denise Michelle Mathis NPPES

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

DENISE MICHELLE MATHIS (NPI 1710224217) is an individual family provider in Spartanburg, South Carolina, licensed in South Carolina (18111) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710224217

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDENISE MICHELLE MATHIS

Location Address2660 REIDVILLE RD UNIT 1Spartanburg, SC 29301-3512

Mailing AddressPo Box 743070Atlanta, GA 30374-3070

Phone(864) 560-9696

Sole ProprietorNo

Enumeration DateJanuary 3, 2013

Last NPPES UpdateOctober 10, 20193 updates tracked since enumeration

✔ NPI 1710224217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 18111

2660 REIDVILLE RD UNIT 1, Spartanburg, SC 29301

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Other Identifiers 3

MedicaidNP2242SC

OtherSC04416067SC · Medicare Pin

OtherP01190556SC · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, InStil Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denise Michelle Mathis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29301 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

16%31 patients1/55-star benchmark: 85%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

65%600 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

11%362 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 36% · 131 patients

36%131 patients2/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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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.

MRS. CORTNEY A DAVIS ARNP

Nurse Practitioner (Family)