DR. MARY-ANN M MATHIAS MD
NPI 1851510416
Ophthalmology in Arlington Heights, IL

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1588 N. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, ARLINGTON HEIGHTS, IL 60004(847) 392-9220(847) 392-9252 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Mary-ann M Mathias Md NPPES

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

DR. MARY-ANN M MATHIAS MD (NPI 1851510416) is an individual ophthalmology provider in Arlington Heights, Illinois, licensed in Illinois (125047242) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and is a graduate of Medical College Of Wisconsin (2003).

NPPES Registry Identity

NPI1851510416
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARY-ANN M MATHIASCredential: MD
Location Address1588 N. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTSArlington Heights, IL 60004
Mailing Address670 W Wayman St, 1203Chicago, IL 60661-1704 · (773) 988-3151 · Fax (312) 291-9842
Fax(847) 392-9252
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 2003
Enumeration DateApril 24, 2007
Last NPPES UpdateSeptember 21, 2011
NPI 1851510416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IL · 125047242
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1588 N. ARLINGTON HEIGHTS ROAD, Arlington Heights, IL 60004

Other Identifiers 1

Medicare UPINK41045IL

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

Dr. Mary-ann M Mathias Md 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 ID7517051121
PECOS Enrollment IDI20070913000214
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 17

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
668 services622 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
600 services527 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.
455 services313 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
312 services270 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
202 services102 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
200 services186 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60004 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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

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 Mary-ann Mathias's NPI number?

The NPI number for Mary-ann Mathias is 1851510416. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Mary-ann Mathias located?

Mary-ann Mathias practices at 1588 N. Arlington Heights Road Arlington Heights, Arlington Heights, IL 60004. The listed phone number is (847) 392-9220.

What is Mary-ann Mathias's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mary-ann Mathias enrolled in Medicare?

Yes. Mary-ann Mathias 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.

Is Mary-ann Mathias affiliated with any hospitals?

According to CMS data, Mary-ann Mathias is affiliated with Northwestern Lake Forest Hospital.

When was this NPI record last updated?

The NPPES record for Mary-ann Mathias was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.