ANDREW MATHIS (PA-C) – Physician Assistant, NPI 1801265004
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for ANDREW MATHIS (PA-C)
4459 S WILLOWBROOK CT
TERRE HAUTE, IN 478028781
Phone: (812) 240-6299
Type: Mailing
1606 N 7TH ST
TERRE HAUTE, IN 478042706
Phone: (812) 238-7000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $427.
Total Amount is formed as General ($427) + Research ($0) + Ownership ($0) = $427.
Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Novo Nordisk Inc ($193).
Total Amount
$427
General + Research + Ownership
Payments
14
Total payment records
General Amount
$427
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $193 |
| Amgen Inc. | $144 |
| Dexcom, Inc. | $23 |
| Gilead Sciences, Inc. | $22 |
| Hologic Sales and Service, LLC | $16 |
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: 2015-10-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151009000718 | I | Physician Assistant | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 33 | 22 | $0 |
Insurance plans in this area (ZIP 47802)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Physician Assistant | IN | |
| Internal Medicine, Pediatric Medicine | IN | |
| Clinical Social Worker | IN | |
| Nurse Practitioner | IN | |
| - | IN |
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