Individual provider Active NPI

Nathan R Mathews, MD

  • Ophthalmology Physician
  • Burlington, WI
National Provider Identifier
1275928624
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
68043-20 Issued in WI
Practice address
675 W State St
Burlington, WI 53105-1739
Phone
(262) 763-7613
Fax
(262) 947-4996
NPI assigned
Apr 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 68043-20 WI Primary

Addresses

Primary practice location

675 W State St
Burlington, WI 53105-1739

Mailing address

675 W State St
Burlington, WI 53105-1739
Phone (262) 763-7772

Other practice location 1

1311 S Lincoln St
Elkhorn, WI 53121-4375
Phone (262) 723-4600

Other identifiers 1

IdentifierTypeStateIssuer
100057672MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmathews@eps.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190718002686 WI Practitioner - Ophthalmology 0143500926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Wisconsin, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons SC 5 clinicians

Practice addresses (Care Compare)

1311 S Lincoln St
Elkhorn, WI 53121-4375
Phone (262) 723-4600

Hospital & facility affiliations

  • Aurora Memorial Hospital Burlington Hospital, Burlington, WI, CCN 520059

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as individual
Quality
80.89
Promoting interoperability
98
Improvement activities
40
Cost
68.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery198
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians and Surgeons SC Ophthalmology CurrentSince Aug 12, 2019 Accepting new patients
Eye Physicians & Surgeons SC Ophthalmology CurrentSince Aug 12, 2019 Accepting new patients

Locations

675 W State St
Burlington, WI 53105
Phone (262) 763-7613

222 Adams St
Burlington, WI 53105
Phone (262) 763-8900

709 Spring Valley Rd
Burlington, WI 53105
Phone (262) 767-6020

1311 S Lincoln St
Elkhorn, WI 53121
Phone (262) 723-4600

Interoperability endpoints

  • Direct secure messaging: nmathews@eps.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1275928624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W STATE ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051739",
            "telephone_number": "262-763-7772",
            "fax_number": "262-763-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W STATE ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051739",
            "telephone_number": "262-763-7613",
            "fax_number": "262-947-4996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 S Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "WI",
            "postal_code": "531214375",
            "country_code": "US",
            "telephone_number": "262-723-4600",
            "fax_number": "262-947-4996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "NATHAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "68043-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100057672",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmathews@eps.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "675 W State St",
            "city": "Burlington",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531051739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, WI

Sources for this page

Verify at the official NPI Registry.