Kellie L. Mathis, M.D.

NPI 1770563975ActiveIndividual· Colon & Rectal Surgery· Rochester, MN

Colon & Rectal Surgery (M.D.) in Rochester, Minnesota, trained at Texas Tech University Health Science Center School of Medicine (class of 2003). 116 Medicare patients in 2024, $63,616 paid; nearly all of their 107 Part D prescriptions were generic (99%). Davol Inc. was the largest of 2 companies reporting payments in 2025, $28,133 in all, mostly consulting fees.

Overview

NPI	1770563975
Status	Active
Entity type	Individual
Credential	M.D.
Sole proprietor	No
NPI issued	Jan 23, 2006
Last updated in NPPES	Aug 18, 2020
Certified by provider	Aug 18, 2020

Specialties and licenses

Taxonomy	Code	License	State
Colon & Rectal Surgery Primary	208C00000X	46790	MN
Surgery, Surgical Oncology	2086X0206X	46790	MN

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Oct 9, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026	No match	—
New York OMIG · Nov 10, 2026	No match	—
Ohio Medicaid · Nov 10, 2026	No match	—
Pennsylvania Medicheck · Nov 10, 2026	No match	—
Washington HCA · Nov 10, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - Colorectal Surgery (Proctology) (MN)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	116
Services billed	235 across 63 procedure codes
Paid by Medicare	$63,616

Part D prescriptions in 2024

Prescriptions (claims)	107 · 108 30-day fills
Patients	42
Total drug cost	$1,098
Generic share	99% of claims

Medicare sources and data years

Education and affiliations

Medical school	Texas Tech University Health Science Center School of Medicine
Graduation year	2003
Medicare specialty	Colorectal Surgery (Proctology)
Telehealth	Offers telehealth