DR. JAN E MATHISEN (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1275687766

DR. JAN E MATHISEN (M.D.) is a healthcare provider. based in Birmingham, Alabama. specializing in PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 11165 (AL). The NPI Number for DR. JAN E MATHISEN (M.D.) is 1275687766

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAN E MATHISEN (M.D.)
NPI
1275687766
Phone
(205) 638-5860
Address
1940 ELMER J BISSELL RD
Enumeration Date
22 January 2007
Last Update Date
21 March 2013

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2059759925
Graduation Year
1982 (44 years ago)
PAC ID
3173663895
Group Practice PAC ID
1951213107
Professional Enrollment ID
I20091210000427
Address ID
AL352331711BI1600XSXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

349 PEDIATRIC MEDICINE in AL

Provider Addresses for DR. JAN E MATHISEN (M.D.)

  • 1940 ELMER J BISSELL RD

    SUITE C

    BIRMINGHAM, AL 352432941

    Phone: (205) 638-5860

    Fax: (205) 638-5879

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $1,973.

Total Amount is formed as General ($1,973) + Research ($0) + Ownership ($0) = $1,973.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: UCB, Inc. ($982).

Total Amount

$1,973

General + Research + Ownership

Payments

61

Total payment records

General Amount

$1,973

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091210000427IPediatric MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2726$0
99214Established patient office or other outpatient visit, 30-39 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 35243)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951213107View full group profile
NameSpecialtyState
N E P H R O L O G YTX
-AL
A N E S T H E S I O L O G YAL
E N D O C R I N O L O G YVA
Nurse PractitionerAL
-AL
Hospitalist, Internal MedicineAL
Clinical PsychologistAL
Nurse PractitionerAL
-AL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for DR. JAN E MATHISEN (M.D.) in the U.S.?
In the U.S., DR. JAN E MATHISEN (M.D.) is identified by NPI 1275687766.
Does the public listing show DR. JAN E MATHISEN (M.D.) as active?
DR. JAN E MATHISEN (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. JAN E MATHISEN (M.D.) does?
Insurance directories may phrase it differently, but here DR. JAN E MATHISEN (M.D.) maps to Neurology with Special Qualifications in Child Neurology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JAN E MATHISEN (M.D.)?
DR. JAN E MATHISEN (M.D.) shows a connection to Birmingham, Alabama in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

MONISHA GOYAL (MD)

Pediatrics Physician
703 VOLKER HL
NPI: 1184641961

ALYSSA T REDDY (M.D.)

Neurology with Special Qualifications in Child Neurology Physician
Children's of Alabama, 1600, 7th Avenue South, Automotive Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States
NPI: 1447367388

JAYNE M NESS (M.D.)

Neurology with Special Qualifications in Child Neurology Physician
Children's of Alabama, 1600, 7th Avenue South, Automotive Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States
NPI: 1710094511

PONGKIAT KANKIRAWATANA (M.D.)

Neurology with Special Qualifications in Child Neurology Physician
Children's of Alabama, 1600, 7th Avenue South, Automotive Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States
NPI: 1164539995

TONY M MCGRATH (M.D.)

Neurology with Special Qualifications in Child Neurology Physician
Volker Hall, 1670, University Boulevard, Phelan Park Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35294, United States
NPI: 1598872244

ELIZABETH BEBIN

Neurology with Special Qualifications in Child Neurology Physician
2000 6th Ave S
NPI: 1437236882

ALAN K PERCY (M.D.)

Neurology with Special Qualifications in Child Neurology Physician
1530, 3rd Avenue South, Automotive Historic District, Birmingham, Jefferson County, Alabama, 35222, United States
NPI: 1962570614

KRISZTINA HARSANYI-JILLING (MD)

Neurology with Special Qualifications in Child Neurology Physician
1600 7th Ave S
NPI: 1922168376