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ALEXIS MATHURA D.O.
NPI 1801286166
Obstetrics & Gynecology in Sebring, FL

Active since January 26, 2015PECOS EnrolledAccepts Medicare Assignment
4240 SUN N LAKE BLVD STE 200, SEBRING, FL 33872(863) 402-2229(863) 402-1209 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2024, Jul 18, 2023 (2 updates tracked since 2023).

About Alexis Mathura D.o. NPPES

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

ALEXIS MATHURA D.O. (NPI 1801286166) is an individual obstetrics & gynecology provider in Sebring, Florida, licensed in Florida (OS17938) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Sebring, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2014).

NPPES Registry Identity

NPI1801286166
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameALEXIS MATHURACredential: D.O.
Location Address4240 SUN N LAKE BLVD STE 200Sebring, FL 33872-1944
Mailing Address4240 Sun N Lake Blvd Ste 200Sebring, FL 33872-1944
Phone(863) 402-2229
Fax(863) 402-1209
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2014
Enumeration DateJanuary 26, 2015
Last NPPES UpdateJanuary 4, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1801286166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · OS17938
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4240 SUN N LAKE BLVD STE 200, Sebring, FL 33872
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Other Names 1

Former Name (1)Alexis Colter Do

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. 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 and accepts Medicare assignment

Alexis Mathura 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 ID2163849936
PECOS Enrollment IDI20220103000135
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 2

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.
28 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33872 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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

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

VANDY NICHOLE MAYWORTH ARNP
Nurse Practitioner (Obstetrics & Gynecology)
4240 SUN N LAKE BLVD STE 200
SEBRING, FL 33872
Highlands County (863) 402-2229

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 Alexis Mathura's NPI number?

The NPI number for Alexis Mathura is 1801286166. It was assigned to this individual provider in the NPPES registry on January 26, 2015. The provider is also known as Alexis Colter Do.

Where is Alexis Mathura located?

Alexis Mathura practices at 4240 Sun N Lake Blvd Ste 200, Sebring, FL 33872. The listed phone number is (863) 402-2229.

What is Alexis Mathura's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Alexis Mathura enrolled in Medicare?

Yes. Alexis Mathura 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 Alexis Mathura accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and UnitedHealthcare list Alexis Mathura 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 Alexis Mathura affiliated with any hospitals?

According to CMS data, Alexis Mathura is affiliated with Adventhealth Sebring.

When was this NPI record last updated?

The NPPES record for Alexis Mathura was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.