ERIC MATHIS (DO) – Family Medicine Physician, NPI 1699238105

ERIC MATHIS (DO) is a healthcare provider. based in Lawton, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 7011 (OK). The NPI Number for ERIC MATHIS (DO) is 1699238105

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ERIC MATHIS (DO)
NPI
1699238105
Phone
Not provided
Address
3401 W GORE BLVD
Enumeration Date
11 April 2019
Last Update Date
21 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186501180
Graduation Year
2019 (7 years ago)
PAC ID
0648673293
Group Practice PAC ID
9638143282
Professional Enrollment ID
I20210720003967
Address ID
OK744373893HE2405XAXXX502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

992 FAMILY PRACTICE in NV

Provider Addresses for ERIC MATHIS (DO)

  • 3401 W GORE BLVD

    LAWTON, OK 735056332

    Phone:

    Type: Mailing

  • 6255 Rock Dove Ave

    Las Vegas, NV 891223541

    Phone: (435) 705-6175

    Type: Location

  • 2403 W MAIN ST

    HENRYETTA, OK 744373893

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $527.

Total Amount is formed as General ($527) + Research ($0) + Ownership ($0) = $527.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lilly USA, LLC ($218).

Total Amount

$527

General + Research + Ownership

Payments

34

Total payment records

General Amount

$527

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2022-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210720003967IFamily PracticeTXTBD
I20220722000962IFamily PracticeOKTBD

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
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a5525$0
36415Insertion of needle into vein for collection of blood sample3629$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and2323$0
View full utilization report →

Insurance plans in this area (ZIP 73505)

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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: 9638143282View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
-OK
General Practice, Internal MedicineOK

Reviews

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Frequently asked questions

Can I verify ERIC MATHIS (DO) with an NPI only?
You can start verification with NPI 1699238105 for ERIC MATHIS (DO), then check state licensing separately.
Is ERIC MATHIS (DO) still practicing?
ERIC MATHIS (DO) is currently listed as active in the public NPI registry.
What is ERIC MATHIS (DO)'s specialty?
The listing groups ERIC MATHIS (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for ERIC MATHIS (DO)?
ERIC MATHIS (DO)'s geographic hint is Lawton, Oklahoma in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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