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Active NPI 1518053719 Individual Practitioner Male Practitioner

Kenneth E Mathis , RPA

Physician Assistant • Waterloo, NY

Professional Overview & Biography Verified Profile Summary

Kenneth Mathis, RPA is a registered healthcare professional specializing in Physician Assistant in Waterloo, NY. Practice services are available at 367 E MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

367 E Main St

Waterloo, NY 131651643

Telephone 3157874977
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Waterloo, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Waterloo, NY (15701 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
47 32 $179.00 $80.36
99213 Established patient office or other outpatient visit, typically 15 minutes
21 16 $120.00 $55.18

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 003372

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Roberta Korich , NP

Nurse Practitioner - Family

NPI 1053496315

Nurse Practitioner

Jennifer Whitmore

Nurse Practitioner

NPI 1205405743
NPI 1649910464

Doctor of Osteopathic Medicine (D.O.)

Trevor Johnson

Nurse Practitioner - Primary Care

NPI 1669347951
Dr. Luke Chen , MD

Internal Medicine

NPI 1700889243

Doctor of Medicine (M.D.)

Elizabeth Smith

Nurse Practitioner - Primary Care

NPI 1730712985

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 05, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2007

Registered at 367 E MAIN ST, WATERLOO, NY 131651643 (Tel: 3157874977)

📍
Updated Business Mailing Address October 05, 2007

Registered at 196 NORTH ST, GENEVA, NY 144561651

👤
Provider Name / Credentials Updated October 05, 2007

Recorded as KENNETH MATHIS, R.P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2007

Physician Assistant (License #003372 in NY)

🟢
Initial NPI Registration & Enumeration October 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518053719
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: October 05, 2007
Sole Proprietor: Yes

Mailing Address

196 North St

Geneva, NY 144561651

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.