SHEENA M MATHEW M.D.
NPI 1992047146
Internal Medicine in Lakeway, TX

Active since March 25, 2013PECOS EnrolledAccepts Medicare Assignment
3108 RANCH ROAD 620 S, LAKEWAY, TX 78738(512) 654-4200(512) 654-4201 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2024, Aug 3, 2022 (2 updates tracked since 2022).

About Sheena M Mathew M.d. NPPES

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

SHEENA M MATHEW M.D. (NPI 1992047146) is an individual internal medicine provider in Lakeway, Texas, licensed in Texas (S8609) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and is a graduate of State University Of New York Downstate Medical Center (2013).

NPPES Registry Identity

NPI1992047146
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHEENA M MATHEWCredential: M.D.
Location Address3108 RANCH ROAD 620 SLakeway, TX 78738-5635
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371
Fax(512) 654-4201
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2013
Enumeration DateMarch 25, 2013
Last NPPES UpdateFebruary 7, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
NPI 1992047146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · S8609
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 0101260545 (VA)
3108 RANCH ROAD 620 S, Lakeway, TX 78738

Other Identifiers 1

Medicaid1992047146VA

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

Sheena M Mathew M.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 ID7416241161
PECOS Enrollment IDI20210204002066
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 12

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.
250 services172 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
143 services105 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.
136 services103 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
84 services84 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
27 services25 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
27 services27 patients

Hospital Affiliations CMS Care Compare 4

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

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450054
Location2401 S 31st StTemple, TX 76508 · Bell County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670108
Location810 W Highway 71Marble Falls, TX 78654 · Burnet County
Emergency services Birthing friendly

Baylor Scott & White Medical Center- Austin

Acute Care Hospitals · Austin, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670136
Location5245 W Us 290Austin, TX 78735 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78738 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
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 15

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

Internal Medicine
3108 RANCH ROAD 620 S
LAKEWAY, TX 78738
Physician Assistant
3108 RANCH ROAD 620 S
LAKEWAY, TX 78738
Nurse Practitioner (Family)
3108 RANCH ROAD 620 S
LAKEWAY, TX 78738
Nurse Practitioner (Family)
3108 RANCH ROAD 620 S
LAKEWAY, TX 78738
Physician Assistant
3108 RANCH ROAD 620 S
LAKEWAY, TX 78738
Internal Medicine
3108 RANCH ROAD 620 S
LAKEWAY, TX 78738
Family Medicine
3108 RANCH ROAD 620 S
LAKEWAY, TX 78738
Internal Medicine
3108 RANCH ROAD 620 S
LAKEWAY, TX 78738

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 Sheena Mathew's NPI number?

The NPI number for Sheena Mathew is 1992047146. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Where is Sheena Mathew located?

Sheena Mathew practices at 3108 Ranch Road 620 S, Lakeway, TX 78738. The listed phone number is (512) 654-4200.

What is Sheena Mathew's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sheena Mathew enrolled in Medicare?

Yes. Sheena Mathew 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 Sheena Mathew accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Sheena Mathew 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 Sheena Mathew affiliated with any hospitals?

According to CMS data, Sheena Mathew is affiliated with Baylor Scott & White Medical Center - Temple, Baylor Scott & White Medical Center - Round Rock, Baylor Scott & White Medical Center - Marble Falls and Baylor Scott & White Medical Center- Austin.

When was this NPI record last updated?

The NPPES record for Sheena Mathew was last updated on February 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.