DR. DEREK ANDREW MATHIS (M.D.) – Neuropathology Physician, NPI 1679796544

DR. DEREK ANDREW MATHIS (M.D.) is a healthcare provider. based in Jbsa ft sam houston, Texas. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. MD 025469 (LA). The NPI Number for DR. DEREK ANDREW MATHIS (M.D.) is 1679796544

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEREK ANDREW MATHIS (M.D.)
NPI
1679796544
Phone
(210) 916-4029
Address
3551 Roger Brooke Dr
Enumeration Date
10 April 2007
Last Update Date
17 November 2024

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
2105586288
Graduation Year
1999 (27 years ago)
PAC ID
6103196761
Group Practice PAC ID
6406851054
Professional Enrollment ID
I20190712002106
Address ID
TX782293902SA7700XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,394 PATHOLOGY in TX

Provider Addresses for DR. DEREK ANDREW MATHIS (M.D.)

  • 3551 Roger Brooke Dr

    Jbsa Ft Sam Houston, TX 782344504

    Phone: (210) 916-4029

    Fax: (210) 916-3235

    Type: Location

  • 3551 ROGER BROOKE DR

    JBSA FT SAM HOUSTON, TX 782344504

    Phone: (210) 916-4029

    Fax: (210) 916-3235

    Type: Mailing

  • PO BOX 681149

    SAN ANTONIO, TX 782681149

    Phone: (210) 558-6288

    Fax: (210) 558-6289

    Type: Mailing

  • 7700 FLOYD CURL DR

    SAN ANTONIO, TX 782293902

    Phone: (210) 575-4000

    Fax: (210) 575-6059

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-07-12

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
I20190712002106IPathologyTXTBD

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
88341Special stained specimen slides to examine tissue, each additional procedure38283$0
88305Pathology examination of tissue using a microscope, intermediate complexity268161$0
80503Pathology clinical consultation for clinical problem, 5-20 minutes253197$0
88108Cell examination of specimen, concentration technique164117$0
88307Pathology examination of tissue using a microscope, moderately high complexity139108$0
View full utilization report →

Insurance plans in this area (ZIP 78234)

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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: 6406851054View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. DEREK ANDREW MATHIS (M.D.) for billing?
Administrative and clinical systems typically use NPI 1679796544 for DR. DEREK ANDREW MATHIS (M.D.).
Does the public listing show DR. DEREK ANDREW MATHIS (M.D.) as active?
DR. DEREK ANDREW MATHIS (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. DEREK ANDREW MATHIS (M.D.)?
NPPES ties DR. DEREK ANDREW MATHIS (M.D.) to Neuropathology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. DEREK ANDREW MATHIS (M.D.) in Jbsa Ft Sam Houston, Texas?
For routing, start with Jbsa Ft Sam Houston, Texas for DR. DEREK ANDREW MATHIS (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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