DR. EVAN J MATHESON (M.D.) – Allergy & Immunology Physician, NPI 1649251646
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
40 ALLERGY/IMMUNOLOGY in UT
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Provider Addresses for DR. EVAN J MATHESON (M.D.)
745, North 500 West, North Park, Provo, Utah County, Utah, 84601, United States
#200
PROVO, UT 846011472
Phone: (801) 375-9292
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 85 Open Payments records for all available years, with a total value of $2,063.
Total Amount is formed as General ($2,063) + Research ($0) + Ownership ($0) = $2,063.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: GENZYME CORPORATION ($655).
Total Amount
$2,063
General + Research + Ownership
Payments
85
Total payment records
General Amount
$2,063
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
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $655 |
| AstraZeneca Pharmaceuticals LP | $331 |
| Grifols USA, LLC | $217 |
| AIMMUNE THERAPEUTICS, INC. | $175 |
| Amgen Inc. | $118 |
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: 2011-02-04
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 |
|---|---|---|---|---|
| I20110204000955 | I | Allergy/Immunology | UT | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 263 | 11 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 260 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 104 | 65 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 67 | 38 | $0 |
Insurance plans in this area (ZIP 84601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | UT | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 662 | 23 |
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