ALEXANDRA MATHERN (M.D.) – Obstetrics & Gynecology Physician, NPI 1598149171

ALEXANDRA MATHERN (M.D.) is a healthcare provider. based in Peoria, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 036149401 (IL). The NPI Number for ALEXANDRA MATHERN (M.D.) is 1598149171

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA MATHERN (M.D.)
NPI
1598149171
Phone
(309) 680-7600
Address
320 E Armstrong Ave
Enumeration Date
14 July 2015
Last Update Date
7 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
3096922025
Graduation Year
2015 (11 years ago)
PAC ID
5991011652
Group Practice PAC ID
0547166076
Professional Enrollment ID
I20190731000240
Address ID
IL616142529PE2419XCTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:10State licenses:2Digital endpointsOther names

1,923 OBSTETRICS/GYNECOLOGY in IL

Provider Addresses for ALEXANDRA MATHERN (M.D.)

  • 320 E Armstrong Ave

    Peoria, IL 616033172

    Phone: (309) 680-7600

    Type: Location

  • 3128 N LINNHILL CT

    PEORIA, IL 616041650

    Phone: (701) 220-8162

    Type: Mailing

  • 320 E ARMSTRONG AVE

    PEORIA, IL 616033172

    Phone: (309) 680-7600

    Type: Location

  • PO BOX 19248

    SPRINGFIELD, IL 627949248

    Phone: (217) 528-7541

    Type: Mailing

  • 2419 W CORNERSTONE CT

    PEORIA, IL 616142529

    Phone: (217) 528-7541

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $685.

Total Amount is formed as General ($685) + Research ($0) + Ownership ($0) = $685.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Astellas Pharma US Inc ($190).

Total Amount

$685

General + Research + Ownership

Payments

36

Total payment records

General Amount

$685

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2019-07-31

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
I20190731000240IObstetrics/GynecologyILTBD

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 minutes2725$0
99214Established patient office or other outpatient visit, 30-39 minutes1616$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina1111$0
View full utilization report →

Insurance plans in this area (ZIP 61603)

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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: 0547166076View full group profile

Reviews

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Frequently asked questions

How do I look up ALEXANDRA MATHERN (M.D.) by NPI?
Use NPI 1598149171 when you need to reference ALEXANDRA MATHERN (M.D.) in forms, claims, or directories.
Does this profile mean ALEXANDRA MATHERN (M.D.) is currently active?
Yes — ALEXANDRA MATHERN (M.D.) appears active in the national provider directory.
Does ALEXANDRA MATHERN (M.D.) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for ALEXANDRA MATHERN (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for ALEXANDRA MATHERN (M.D.)?
We surface Peoria, Illinois for ALEXANDRA MATHERN (M.D.) based on available NPPES addresses.
How can I contact ALEXANDRA MATHERN (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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