Nicholas Mathenia, D.O.
NPI 1720377328 · Neurology Physician · Naperville, IL
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Mathenia, D.O. is a Neurology Physician provider in Naperville, IL (NPI 1720377328).
Provider details
- NPI number
- 1720377328
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
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
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
787 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 453 | $95 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 121 | $177 |
| Needle Measurement of Electrical Activity in Arm Or Leg Muscles, Complete Study95886 | 47 | $102 |
| Measurement of Brain Wave Activity (eeg), Awake and Asleep95819 | 36 | $58 |
| Needle Measurement of Electrical Activity in Arm Or Leg Muscles, Complete Study95886 | 32 | $46 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 46 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Donepezil Hcl | 385 | 115 |
| Levetiracetam | 273 | 62 |
| Gabapentin | 234 | 78 |
| Memantine Hcl | 211 | 61 |
| Carbidopa/Levodopabrand: Carbidopa-Levodopa | 161 | 48 |
| Topiramate | 107 | 38 |
| Divalproex Sodiumbrand: Divalproex Sodium Er | 92 | 18 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$291 across 11 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
- 2011-04-04
- Last updated
- 2021-01-26
- Certified
- 2021-01-26
Frequently asked questions
- What is Nicholas Mathenia's NPI number?
- Nicholas Mathenia's National Provider Identifier (NPI) is 1720377328, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Mathenia's specialty?
- Nicholas Mathenia is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Nicholas Mathenia located?
- Nicholas Mathenia's practice location on file with NPPES is 120 Spalding Dr, Naperville, IL 60540-6508.
- What is Nicholas Mathenia's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Mathenia is (630) 527-7730.
- Does Nicholas Mathenia accept Medicare?
- Nicholas Mathenia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Mathenia's NPI active?
- Yes — Nicholas Mathenia's NPI (1720377328) is active in the NPPES registry as of the last update on 2021-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.