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DR. KEVIN TODD MATHEWSON DDS
NPI 1912072919
Dentist - General Practice in Big Rapids, MI

Active since November 22, 2006PECOS Enrolled
415 SOUTH STATE STREET, BIG RAPIDS, MI 49307(231) 796-3571(231) 796-2211 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin Todd Mathewson Dds NPPES

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

DR. KEVIN TODD MATHEWSON DDS (NPI 1912072919) is an individual general practice provider in Big Rapids, Michigan, licensed in Michigan (29010-16945) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912072919
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEVIN TODD MATHEWSONCredential: DDS
Location Address415 SOUTH STATE STREETBig Rapids, MI 49307-2049
Mailing Address415 South State StreetBig Rapids, MI 49307-2049 · (231) 796-3571 · Fax (231) 796-2211
Phone(231) 796-3571
Fax(231) 796-2211
Sole ProprietorNo
Enumeration DateNovember 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912072919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 29010-16945
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
415 SOUTH STATE STREET, Big Rapids, MI 49307
Open in Google Maps ↗

Other Identifiers 4

Other3317643MI · Medicaid
OtherD169450MI · Bcbs
Medicaid3272864MI
Other971753MI · United Concordia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.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)

Dr. Kevin Todd Mathewson Dds 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 49307 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 2

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

DR. EDWIN WALTER ANDERSON JR. DDS
Dentist (General Practice)
415 SOUTH STATE STREET
BIG RAPIDS, MI 49307
Mecosta County (231) 296-3571
PROFESSIONAL DENTAL ASSOCIATES PC
Dentist (General Practice)
415 SOUTH STATE STREET
BIG RAPIDS, MI 49307
Mecosta County (231) 796-3571

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 Mathewson's NPI number?

The NPI number for Kevin Mathewson is 1912072919. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Kevin Mathewson located?

Kevin Mathewson practices at 415 South State Street, Big Rapids, MI 49307. The listed phone number is (231) 796-3571.

What is Kevin Mathewson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kevin Mathewson enrolled in Medicare?

Yes. Kevin Mathewson is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Mathewson accept?

Health plans from Delta Dental of Michigan list Kevin Mathewson 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 Mathewson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.