RODERICK MATHIS
NPI 1396882833
Dentist - General Practice in Winter Garden, FL
NPI Status: Active since February 01, 2007
Contact Information
13275 W COLONIAL DR
SUITE 200
WINTER GARDEN, FL
ZIP 34787
Phone: (407) 905-8827
Fax: (407) 654-4528
- Individual
- Male
- Dentist
- General Practice
- Accepts Insurance
- PECOS Enrolled
About RODERICK MATHIS
This page provides the complete NPI Profile along with additional information for Roderick Mathis, a provider established in Winter Garden, Florida with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1396882833 assigned on February 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 13831 (FL). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1396882833
- Provider Name
- RODERICK MATHIS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 13275 W COLONIAL DR SUITE 200 WINTER GARDEN, FL 34787
- Location Phone
- (407) 905-8827
- Location Fax
- (407) 654-4528
- Mailing Address
- 110 S WOODLAND ST WINTER GARDEN, FL 34787
- Mailing Phone
- (407) 905-8827
- Mailing Fax
- (407) 654-4528
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-01-2007
- Last Update Date
- 03-26-2014
- Code Navigator
A dentist like Roderick Mathis is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 13831
- License State
- FL
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Guardian Basics for Familes and Individuals - PPO
- Guardian Essentials for Families and Individuals - PPO
- Guardian Preventive Plus for Families and Individuals - PPO
- Guardian Select for Families and Individuals - PPO
- Alabama Preferred Plan - PPO
- Alabama Preferred Plan (Pediatric Only) - PPO
- Alabama Preferred Plus Plan - PPO
- Alabama Preferred Plus Plan (Pediatric Only) - PPO
- Alabama Wellness Essentials Plan - PPO
- Florida Preferred Plan - PPO
- Florida Preferred Plan (Pediatric Only) - PPO
- Florida Preferred Plus Plan - PPO
- Florida Preferred Plus Plan (Pediatric Only) - PPO
- Florida Wellness Essentials Plan - PPO
- High PPO Dental Plan - PPO
- High PPO Dental Plan (Pediatric Only) - PPO
- Kansas Preferred Plan - PPO
- Kansas Preferred Plan (Pediatric Only) - PPO
- Kansas Wellness Essentials Plan - PPO
- Low PPO Dental Plan - PPO
- Low PPO Dental Plan (Pediatric Only) - PPO
- Mississippi Preferred Plan - PPO
- Mississippi Preferred Plan (Pediatric Only) - PPO
- Mississippi Wellness Essentials Plan - PPO
- EssentialSmile Florida - Total Care - EPO
- EssentialSmile Ped 221 - PPO
- Smile Now Florida - No Waiting Period PPO - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 004389000 | MEDICAID (05) | FL |
Medicare Participation & PECOS Enrollment Status
Roderick Mathis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 34787 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $87.62
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $21.9
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.04
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $17.51
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 8 | 8 | 2 | 8 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 16 | 8 | 4 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 1 + 6 + 8 + 4 + 8 + 6 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1396882833 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619977733 | GREGG ALAN STEWART DMD Individual | Dentist | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1316040819 | WALESKA I VELEZ-LEON DMD Individual | Dentist | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1013143544 | KATHLEEN THU NGUYEN D.M.D Individual | Dentist (General Practice) | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1225305816 | CARRIE MICHELLE BELLEMORE ARNP Individual | Nurse Practitioner (Family) | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1619223542 | RANDEE L POEPPELMAN LCSW Individual | Social Worker (Clinical) | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1891155271 | DR. ELIZABETH JANE OTTEY STEWART DDS Individual | Dentist (General Practice) | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1306935606 | COMMUNITY HEALTH CENTERS, INC Organization | Clinic/Center (Primary Care) | 13275 W COLONIAL DR SUITE 1200 WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1790851640 | COMMUNITY HEALTH CENTERS, INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1033428305 | DR. ALEYDIS RIVERA ONITIRI MD Individual | General Practice | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1689865149 | DR. LORENA MIRANDA OD Individual | Optometrist | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1942668132 | VERONICA DENISE CASTAN ARNP Individual | Nurse Practitioner (Family) | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1366730061 | CECELE R ROGERS APRN Individual | Nurse Practitioner (Primary Care) | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1649340837 | JONATHAN A SWARTZ MD Individual | Family Medicine | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1578502332 | DR. LOYD J. KIERNAN III DMD Individual | Dentist (General Practice) | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1265779227 | DR. KRISTIN JILL MALDONADO PHARM. D. Individual | Pharmacist | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 614-5374 |
| 1245606441 | JESSICA DANIELLE WAGNER FNP-BC Individual | Nurse Practitioner (Family) | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1104094721 | MICHELE I WETMORE ARNP Individual | Nurse Practitioner (Adult Health) | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1427111038 | VALERIE RIOS-SANCHEZ M.D. Individual | Pediatrics | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1942930409 | DR. WOOWON CHOI DMD Individual | Dentist (Dental Public Health) | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
| 1992930770 | DR. CARL EDWARD JULIAO DMD Individual | Dentist (General Practice) | 13275 W COLONIAL DR WINTER GARDEN, FL 34787 (407) 905-8827 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396882833, enumerated in the NPI registry as an "individual" on February 01, 2007
The provider is located at 13275 W Colonial Dr Suite 200 Winter Garden, Fl 34787 and the phone number is (407) 905-8827
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $87.62 with an average copayment of $21.9 for new patient appointments. Established patients should expect a typical charge of $70.04 and an average copayment of 17.51. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on February 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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