TYLER WAYNE MATHENIA – Optometrist, NPI 1033895131
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
Provider Addresses for TYLER WAYNE MATHENIA
1894 Wentzville Pkwy
Wentzville, MO 633853820
Phone: (636) 887-4000
Fax: (636) 887-4095
Type: Location
230 N Lindbergh Blvd
Florissant, MO 630315904
Phone: (314) 921-9377
Fax: (314) 830-2940
Type: Location
6313 Ronald Reagan Dr
Lake St Louis, MO 633672681
Phone: (636) 561-2342
Fax: (636) 561-2362
Type: Location
933 Highway K
O Fallon, MO 633662910
Phone: (636) 379-4288
Fax: (636) 272-2765
Type: Location
2946 Highway K
O Fallon, MO 633687861
Phone: (636) 240-1516
Type: Location
390 Mid Rivers Mall Dr
Saint Peters, MO 633761565
Phone: (636) 279-2020
Fax: (636) 279-1055
Type: Location
83 The Plz
Troy, MO 633791365
Phone: (636) 462-3958
Fax: (636) 462-3957
Type: Location
2121 Zumbehl Rd
Saint Charles, MO 633032724
Phone: (636) 949-2906
Fax: (636) 949-2914
Type: Location
PO BOX 207158
DALLAS, TX 753207158
Phone: (636) 200-4393
Fax: (636) 527-0766
Type: Mailing
514 WARRENTON COUNTY CENTER
WARRENTON, MO 63383
Phone: (636) 377-2054
Fax: (636) 377-2056
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,588.
Total Amount is formed as General ($1,588) + Research ($0) + Ownership ($0) = $1,588.
Last reported payment date: 2023-11-15 • Largest payer in this snapshot: CooperVision Inc. ($1,588).
Total Amount
$1,588
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,588
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $1,588 |
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: 2023-08-16
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 |
|---|---|---|---|---|
| I20230816000728 | I | Optometry | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63385)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| - | MO | |
| O P T O M E T R Y | MO | |
| - | MO | |
| - | CA | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO |
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.