DR. SUSAN M MATHISON MD
NPI 1952469165
Otolaryngology in Fargo, ND

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
1800 21ST AVE S, FARGO, ND 58103(701) 365-8700(701) 365-8701 Get Directions Write a Review

NPPES record last updated: December 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susan M Mathison Md NPPES

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

DR. SUSAN M MATHISON MD (NPI 1952469165) is an individual otolaryngology provider in Fargo, North Dakota, licensed in North Dakota (7819) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1990).

NPPES Registry Identity

NPI1952469165
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SUSAN M MATHISONCredential: MD
Location Address1800 21ST AVE SFargo, ND 58103
Mailing Address1800 21st Ave SFargo, ND 58103 · (701) 365-8700 · Fax (701) 365-8701
Fax(701) 365-8701
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1990
Enumeration DateDecember 4, 2006
Last NPPES UpdateDecember 7, 2011
NPI 1952469165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in ND · 7819
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1800 21ST AVE S, Fargo, ND 58103

Other Identifiers 4

Medicare UPINF38376
Medicaid10334ND
Medicare PIN040000610MN
Medicare PINN711498ND

Accepted 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

Dr. Susan M Mathison 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 ID2567493133
PECOS Enrollment IDI20050823000939
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 8

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.
54 services46 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.
43 services39 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.
42 services42 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
24 services24 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
23 services17 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
15 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Jamestown Regional Medical Center

Critical Access Hospitals · Jamestown, ND
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number351335
Location2422 20th St SWJamestown, ND 58401 · Stutsman County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers11 claims11 services$21.63 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers14 claims79 services$2.15 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers28 claims28 services$32.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Physician Assistant
1800 21ST AVE S
FARGO, ND 58103
Otolaryngology
1800 21ST AVE S
FARGO, ND 58103
Hearing Instrument Specialist
1800 21ST AVE S
FARGO, ND 58103
Specialist/Technologist, Other (Art, Medical)
1800 21ST AVE S
FARGO, ND 58103
Nurse Practitioner
1800 21ST AVE S
FARGO, ND 58103
Family Medicine
1800 21ST AVE S
FARGO, ND 58103
Physician Assistant
1800 21ST AVE S
FARGO, ND 58103
Clinic/Center (Physical Therapy)
1800 21ST AVE S
FARGO, ND 58103

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 Susan Mathison's NPI number?

The NPI number for Susan Mathison is 1952469165. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Susan Mathison located?

Susan Mathison practices at 1800 21st Ave S, Fargo, ND 58103. The listed phone number is (701) 365-8700.

What is Susan Mathison's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Susan Mathison enrolled in Medicare?

Yes. Susan Mathison 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 Susan Mathison accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Susan Mathison 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 Susan Mathison affiliated with any hospitals?

According to CMS data, Susan Mathison is affiliated with Sanford Medical Center Fargo, Essentia Health and Jamestown Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Susan Mathison was last updated on December 7, 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.