TIANA JEAN MATHIESON (OD) – Optometrist, NPI 1144725268
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
268 OPTOMETRY in ID
Provider Addresses for TIANA JEAN MATHIESON (OD)
1560 MALL DR
NORFOLK, VA 235113806
Phone: (757) 440-1075
Fax: (619) 764-4022
Type: Mailing
230 W Mallard Dr Ste A
Boise, ID 837063995
Phone: (208) 342-4841
Fax: (208) 343-9553
Type: Location
1926 W State St
Boise, ID 837023957
Phone: (208) 336-2020
Fax: (209) 384-5677
Type: Location
933 SEACOAST DR APT K
IMPERIAL BEACH, CA 919322458
Phone: (541) 720-6116
Type: Mailing
1809, National Avenue, San Diego, San Diego County, California, 92113, United States
SAN DIEGO, CA 921132113
Phone: (541) 720-6116
Type: Location
106 W JACKSON ST
BREWTON, AL 364261516
Phone: (241) 867-3635
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $761.
Total Amount is formed as General ($761) + Research ($0) + Ownership ($0) = $761.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Alcon Vision LLC ($388).
Total Amount
$761
General + Research + Ownership
Payments
15
Total payment records
General Amount
$761
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $388 |
| Bausch & Lomb Americas Inc. | $214 |
| Carl Zeiss Meditec USA, Inc. | $86 |
| Oyster Point Pharma, Inc. | $72 |
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: 2024-10-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20190812000272 | I | Optometry | CA | TBD |
| I20220215000210 | I | Optometry | AL | TBD |
| I20241010000017 | I | Optometry | VA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 213 | 137 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 94 | 55 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 43 | 43 | $0 |
| 92285 | Photography of content of eyes | 30 | 24 | $0 |
| 92250 | Photography of the retina | 29 | 27 | $0 |
Insurance plans in this area (ZIP 23511)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | SC | |
| O P T O M E T R Y | MD | |
| O P T O M E T R Y | MD | |
| - | VA | |
| O P T O M E T R Y | PA | |
| - | CA | |
| O P T O M E T R Y | HI | |
| - | OK | |
| O P T O M E T R Y | VA |
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