JEREMY MATHENIA (PA-C) – Medical Physician Assistant, NPI 1285910059

JEREMY MATHENIA (PA-C) is a healthcare provider. based in Mattoon, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085-004144 (IL). The NPI Number for JEREMY MATHENIA (PA-C) is 1285910059

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY MATHENIA (PA-C)
NPI
1285910059
Phone
(217) 238-6055
Address
1005 HEALTH CENTER DR STE 201
Enumeration Date
25 October 2011
Last Update Date
10 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3407752303
Graduation Year
2011 (15 years ago)
PAC ID
2769656297
Group Practice PAC ID
5496978363
Professional Enrollment ID
I20250417001389
Address ID
VI008021346ST6500XPLZX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for JEREMY MATHENIA (PA-C)

  • 1005 HEALTH CENTER DR STE 201

    MATTOON, IL 619384693

    Phone: (217) 238-6055

    Type: Mailing

  • 200 RICHMOND AVE E STE 2

    MATTOON, IL 619384652

    Phone: (217) 234-7000

    Fax: (217) 238-5484

    Type: Location

  • 6500 RED HOOK PLZ STE 205

    ST THOMAS, VI 008021346

    Phone: (340) 775-2303

    Type: Location

  • 160 Hollywood Dr

    Butler, PA 160015600

    Phone: (724) 282-6175

    Type: Location

  • 1715 REYNOLDS DR

    CHARLESTON, IL 619203154

    Phone: (217) 343-1974

    Type: Mailing

  • 4241 HWY 14 W

    CHRISTOPHER, IL 628220155

    Phone: (618) 724-2401

    Fax: (618) 724-4628

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $72.

Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.

Last reported payment date: 2023-06-14 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($41).

Total Amount

$72

General + Research + Ownership

Payments

4

Total payment records

General Amount

$72

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-14

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: 2025-04-17

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
I20250417001389IPhysician AssistantVITBD

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 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 61938)

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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: 5496978363View full group profile

Reviews

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Frequently asked questions

How is JEREMY MATHENIA (PA-C) identified in CMS data?
CMS-hosted NPPES data lists JEREMY MATHENIA (PA-C) with NPI 1285910059.
Is JEREMY MATHENIA (PA-C) listed as active for patients and plans?
The listing shows JEREMY MATHENIA (PA-C) as active in the NPI system.
What is JEREMY MATHENIA (PA-C)'s primary classification?
Medical Physician Assistant is the headline specialty for JEREMY MATHENIA (PA-C) here. Clinical services aligned with this taxonomy classification.
Where is JEREMY MATHENIA (PA-C) based?
JEREMY MATHENIA (PA-C) is tied to Mattoon, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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