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SHAUN KURIAKOSE MATHEN D.O.
NPI 1770744476
Family Medicine in Dekalb, IL

Active since June 24, 2008PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
8 HEALTH SERVICES DR, DEKALB, IL 60115(815) 754-0300(815) 754-0400 Get Directions Write a Review

NPPES record last updated: May 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shaun Kuriakose Mathen D.o. NPPES

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

SHAUN KURIAKOSE MATHEN D.O. (NPI 1770744476) is an individual family medicine provider in Dekalb, Illinois, licensed in Illinois (036119224) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2005).

NPPES Registry Identity

NPI1770744476
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHAUN KURIAKOSE MATHENCredential: D.O.
Location Address8 HEALTH SERVICES DRDekalb, IL 60115-9647
Mailing Address8 Health Services DrDekalb, IL 60115-9647 · (815) 754-0300 · Fax (815) 754-0400
Phone(815) 754-0300
Fax(815) 754-0400
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2005
Enumeration DateJune 24, 2008
Last NPPES UpdateMay 12, 2017
✔ NPI 1770744476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036119224
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.
8 HEALTH SERVICES DR, Dekalb, IL 60115
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Other Identifiers 6

OtherIL2305006IL · Medicare Individual
Medicaid036119224IL
Medicare PIN217067IL
OtherIL6309IL · Medicare Group
Medicare PINIL2305006IL
Medicare UPINP01051492IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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

Shaun Kuriakose Mathen 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 ID1254409444
PECOS Enrollment IDI20080930000791
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 11

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.

Acupuncture with electrical stimulation, each additional 15 minutes 97814
Acupuncture with electrical stimulation involves inserting thin needles into specific points on your body. A mild electrical current is then passed through these needles for a set time, often 15 minutes. This can enhance the effects of traditional acupuncture, helping to relieve pain and promote healing.
157 services11 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
126 services65 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
122 services84 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.
112 services58 patients
Acupuncture with electrical stimulation, initial 15 minutes 97813
Acupuncture with electrical stimulation is a therapy where thin needles are inserted into specific points on your body. A mild electrical current is then passed through the needles to stimulate these points, helping to alleviate pain and promote healing. This initial session lasts 15 minutes.
85 services13 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.
71 services54 patients

Hospital Affiliations CMS Care Compare 4

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Medicine Kishwaukee Hospital

Acute Care Hospitals · Dekalb, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140286
LocationOne Kish Hospital DriveDekalb, IL 60115 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60115 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

DR. GHORI SIDDIQUE RASHIO KHAN MD
Internal Medicine
8 HEALTH SERVICES DR, STE 5
DEKALB, IL 60115
Dekalb County (815) 754-0300
MOHAMMED B GHABRA MD COMPREHENSIVE CLINICAL NEUROLOGY SC
Psychiatry & Neurology (Neurology)
8 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-8554
KISHWAUKEE DENTAL ASSOCIATES, LTD.
Dentist (General Practice)
8 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 758-4431
DR. DIANA MARIE KRAFT MD
Psychiatry & Neurology (Psychiatry)
8 HEALTH SERVICES DR, SUITE 4
DEKALB, IL 60115
Dekalb County (815) 748-8334
DR. DANIEL SENDERAK DDS
Dentist (General Practice)
8 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 758-4431

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 Shaun Mathen's NPI number?

The NPI number for Shaun Mathen is 1770744476. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Shaun Mathen located?

Shaun Mathen practices at 8 Health Services Dr, Dekalb, IL 60115. The listed phone number is (815) 754-0300.

What is Shaun Mathen's specialty?

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

Is Shaun Mathen enrolled in Medicare?

Yes. Shaun Mathen 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 Shaun Mathen accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Shaun Mathen 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 Shaun Mathen affiliated with any hospitals?

According to CMS data, Shaun Mathen is affiliated with Northwestern Medicine Mchenry, Northwestern Medicine Delnor Community Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Medicine Kishwaukee Hospital.

When was this NPI record last updated?

The NPPES record for Shaun Mathen was last updated on May 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.