DR. PAUL J. MATHER M.D.
NPI 1093735847
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Philadelphia, PA

Q: What is Paul Mather's NPI number?

The NPI number for Paul Mather is 1093735847. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Q: What is Paul Mather's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Q: When was this NPI record last updated?

The NPPES record for Paul Mather was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment

86.47/100

CMS Quality Rating

3400 CIVIC CENTER BLVD, 11-161 SOUTH, PHILADELPHIA, PA 19104(215) 662-7355 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Apr 23, 2018, Sep 13, 2017 (3 updates tracked since 2017).

On this page

About Dr. Paul J. Mather M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL J. MATHER M.D. (NPI 1093735847) is an individual advanced heart failure and transplant cardiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD045230E) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1093735847

Entity TypeIndividualMale

Primary Taxonomy207RA0001X

Provider Legal NameDR. PAUL J. MATHERCredential: M.D.

Location Address3400 CIVIC CENTER BLVD, 11-161 SOUTHPhiladelphia, PA 19104-5127

Mailing Address3400 Civic Center Blvd, 11-161 SouthPhiladelphia, PA 19104-5127 · (215) 662-7355

Phone(215) 662-7355

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 1988

Enumeration DateJuly 21, 2006

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1093735847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RA0001X

License✔ Licensed in PA · MD045230E

Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD045230E (PA)

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License MD045230E (PA)

3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

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Secondary Practice Location 1

Location 13400 Civic Center BlvdPhiladelphia, PA 19104-5127 · Phone (215) 806-2745

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul J. Mather M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072410679

PECOS Enrollment IDI20031212000559

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

4,780 services2,697 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

371 services201 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

228 services111 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

224 services113 patients

Evaluation of lower heart chamber assist device 93750

An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.

64 services37 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

62 services22 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

59 services27 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

55 services25 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

17 services17 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

16 services16 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

14 services13 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310010

LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County

Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · Chester County

Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390203

Location595 West State StDoylestown, PA 18901 · Bucks County

Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390223

Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

99.31

Improvement Activities

Cost

86.69

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

1 supplier48 claims48 services$18.33 avg. paid by Medicare

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

1 supplier52 claims211 services$35.76 avg. paid by Medicare

Injection, milrinone lactate, 5 mg J2260

Treatment-Injections and Infusions (nononcologic) · category RI026N

1 supplier43 claims2,497 services$1.33 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

8 suppliers36 claims3,675 services$0.28 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers14 claims1,920 services$0.18 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

8 suppliers31 claims31 services$15.89 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILIPPE OLIVIER SZAPARY MD

Internal Medicine (Cardiovascular Disease)

3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (215) 615-4949

UNIVERSITY OF PENNSYLVANIA

Psychiatric Unit

3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104

Philadelphia County (215) 614-1828

CAREY MCDOUGALL M.S.

Genetic Counselor, MS

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-2920

KELSEY ELIZABETH SPIELMAN

Genetic Counselor, MS

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8479

STEVEN S SCHERER MD

Psychiatry & Neurology (Neurology)

3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3606

KEITH CENGEL MD, PHD

Radiology (Radiation Oncology)

3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2428

BRIAN FRIEL MD

Urology

3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-5042

RICHARD KRISKA

Pharmacist

3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6260

LESLIE HANLON VNENCHAK

Speech-Language Pathologist

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-4000

KATHY A LAWLER PHD

Clinical Neuropsychologist

3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3606

MRS. JENNIFER M SIEGLE RN, CPNP

Nurse Practitioner (Pediatrics)

3400 CIVIC CENTER BLVD, 5TH FLOOR WOOD BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-4075

MICHELE ANN AMBROSINO CRNP

Nurse Practitioner (Neonatal, Critical Care)

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-5657

NAWAR D ABDUL LATIF M.D.

Obstetrics & Gynecology (Gynecologic Oncology)

3400 CIVIC CENTER BLVD, 3RD FLOOR WEST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3318

MRS. ALICIA RAE MCLEISH CRNP

Nurse Practitioner (Primary Care)

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-4000

TENITA C KNOTTS NP

Radiology (Radiation Oncology)

3400 CIVIC CENTER BLVD, 2 TRC
PHILADELPHIA, PA 19104

Philadelphia County (215) 615-6767

MR. OMKAR S. ANASPURE

Student in an Organized Health Care Education/Training Program

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-4000

LAWRENCE FISHER BRASS MD

Internal Medicine (Hematology & Oncology)

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Philadelphia County (215) 615-5858

DR. NDUKA MGBECHINYERE AMANKULOR MD

Neurological Surgery

3400 CIVIC CENTER BLVD, 2ND FLR SOUTH PAVILION
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3487

RAOUL J APONTE PA-C

Physician Assistant

3400 CIVIC CENTER BLVD, 2ND FLR. SOUTH PAVILION
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3487

UNIVERSITY OF PENN-MEDICAL GROUP

Surgery

3400 CIVIC CENTER BLVD, 4 WEST PAVILLION
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Mather's NPI number?

The NPI number for Paul Mather is 1093735847. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Paul Mather located?

Paul Mather practices at 3400 Civic Center Blvd 11-161 South, Philadelphia, PA 19104. The listed phone number is (215) 662-7355.

What is Paul Mather's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Paul Mather enrolled in Medicare?

Yes. Paul Mather is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Mather accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Paul Mather as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Mather affiliated with any hospitals?

According to CMS data, Paul Mather is affiliated with University Medical Center Of Princeton At Plainsboro, Hospital Of Univ Of Pennsylvania, Chester County Hospital, Doylestown Hospital and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Mather was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.