DR. KEVIN WILLIAM MATHES O.D.
NPI 1831477488
Optometrist in Newtown Square, PA

Active since August 01, 2011PECOS EnrolledAccepts Medicare Assignment
3606 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073(610) 546-0013(610) 706-6609 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2025, May 8, 2024, Sep 21, 2021 (3 updates tracked since 2021).

About Dr. Kevin William Mathes O.d. NPPES

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

DR. KEVIN WILLIAM MATHES O.D. (NPI 1831477488) is an individual optometrist in Newtown Square, Pennsylvania, licensed in Maryland (TA2345) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aspen Hill, and is a graduate of New England College Of Optometry (2011).

NPPES Registry Identity

NPI1831477488
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KEVIN WILLIAM MATHESCredential: O.D.
Location Address3606 W CHESTER PIKENewtown Square, PA 19073-4104
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899
Fax(610) 706-6609
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2011
Enumeration DateAugust 1, 2011
Last NPPES UpdateNovember 14, 20253 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
✔ NPI 1831477488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MD · TA2345✔ Licensed in PA · OEG003522
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3606 W CHESTER PIKE, Newtown Square, PA 19073

Secondary Practice Location 1

Location 113505 Connecticut AveAspen Hill, MD 20906-2912 · Phone (301) 438-0555

Accepted 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. Kevin William Mathes O.d. 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 ID9032381876
PECOS Enrollment IDI20130917000043, I20201016000647, I20250321003480
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

5

Medicare enrollment records show Kevin Mathes reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
3606 W CHESTER PIKE
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 262 clinicians in this Medicare group
Optometrist
5601 CONCORD PIKE STE C
Wilmington, DE 19803
  • Reassigned Medicare billing, Delaware enrollment
  • 49 clinicians in this Medicare group
Optometrist
360 E PULASKI HWY, 1B
Elkton, MD 21921
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1467843516 (District of Columbia)
  • 253 clinicians in this Medicare group
Optometrist
3715 BOSTON ST
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • 33 clinicians in this Medicare group
Optometrist
14929 SHADY GROVE RD UNIT K
Rockville, MD 20850
  • Reassigned Medicare billing, District of Columbia enrollment
  • 49 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19073 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Optometrist
3606 W CHESTER PIKE
NEWTOWN SQUARE, PA 19073

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 Kevin Mathes's NPI number?

The NPI number for Kevin Mathes is 1831477488. It was assigned to this individual provider in the NPPES registry on August 1, 2011.

Where is Kevin Mathes located?

Kevin Mathes practices at 3606 W Chester Pike, Newtown Square, PA 19073. The listed phone number is (610) 546-0013.

What is Kevin Mathes's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kevin Mathes enrolled in Medicare?

Yes. Kevin Mathes 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 Kevin Mathes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Mathes reassigns Medicare benefits to 5 organizations: Myeyedr Optometry Of Pennsylvania, LLC (Newtown Square, PA), Myeyedr Optometry Of Delaware PA (Wilmington, DE), Myeyedr Optometry Of Maryland, LLC (Elkton, MD), Canton Crossing Optometry, LLC (Baltimore, MD) and Rockville Optometry, LLC (Rockville, MD). 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 Kevin Mathes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Mathes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 16 other insurers list Kevin Mathes 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.

When was this NPI record last updated?

The NPPES record for Kevin Mathes was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.