Sally Mathias, MD
NPI 1225321789 · Neurology Physician · Lexington, KY
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sally Mathias, MD is a Neurology Physician provider in Lexington, KY (NPI 1225321789).
Provider details
- NPI number
- 1225321789
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 48010 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
13 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Measurement of Brain Wave Activity (eeg), Awake and Drowsy95816 | 13 | $56 |
Typical Medicare-allowed amounts for these services range $56–$56 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 26 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Lacosamide | 190 | 26 |
| Levetiracetam | 134 | 33 |
| Lamotrigine | 86 | 17 |
| Zonisamide | 51 | — |
| Sertraline Hcl | 40 | — |
| Clobazam | 39 | — |
| Divalproex Sodium | 35 | — |
| Clonazepam | 30 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$27 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-05-17
- Last updated
- 2017-01-17
Frequently asked questions
- What is Sally Mathias's NPI number?
- Sally Mathias's National Provider Identifier (NPI) is 1225321789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sally Mathias's specialty?
- Sally Mathias is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Sally Mathias located?
- Sally Mathias's practice location on file with NPPES is 740 S Limestone St, Lexington, KY 40536-0284.
- What is Sally Mathias's phone number?
- The practice phone number listed in the NPPES registry for Sally Mathias is (859) 323-5661.
- Does Sally Mathias accept Medicare?
- Sally Mathias is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sally Mathias's NPI active?
- Yes — Sally Mathias's NPI (1225321789) is active in the NPPES registry as of the last update on 2017-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.