Keith Jeffrey Mathers, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD442987 Issued in PA

Practice address

501 Belmont Ave
Bala Cynwyd, PA 19004-1302

Phone

(610) 667-4066

NPI assigned

Nov 13, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Ophthalmology

Education

Jefferson Medical College of Thomas Jefferson University, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marvin H. Greenbaum, M.D. PCGroup PAC ID 3577500354, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

65.4 of 100Reported as group

Quality

100

Promoting interoperability

0

Improvement activities

40

Cost

67.98

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmathers@balaeye.emadirect.md

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.

• Marvin H. Greenbaum, M.D. PC

  • Ophthalmology Physician
  • Bala Cynwyd, PA
  • NPI 1154438521
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308441600000",
    "number": "1295989523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BELMONT AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041302",
            "telephone_number": "610-667-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BELMONT AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041302",
            "telephone_number": "610-667-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHERS",
        "first_name": "KEITH",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2011-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD442987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Marinchenko, DMD
• Romina Elizabeth Martinez, BCBA
• Marvin H. Greenbaum, M.D. PC
• Mary J Drexel Home
• Lisa Maslow
• Jane M Mathisen, MD
• Kent C Matthies
• Maxim Healthcare Services Inc
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.

• Ophthalmology Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.