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DR. MATHUKUTTY JOSEPH M.D.
NPI 1215947049
Psychiatry & Neurology - Psychiatry in Spindale, NC

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
393 OAK STREET, SUITE 100, SPINDALE, NC 28160(828) 287-3928(828) 286-3137 Get Directions Write a Review

NPPES record last updated: August 3, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mathukutty Joseph M.d. NPPES

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

DR. MATHUKUTTY JOSEPH M.D. (NPI 1215947049) is an individual psychiatry provider in Spindale, North Carolina, licensed in North Carolina (2005-00596) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Rutherford Regional Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1215947049
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MATHUKUTTY JOSEPHCredential: M.D.
Location Address393 OAK STREET, SUITE 100Spindale, NC 28160-1531
Mailing Address393 Oak Street, Suite 100Spindale, NC 28160-1531 · (828) 287-3928 · Fax (828) 286-3137
Phone(828) 287-3928
Fax(828) 286-3137
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 8, 2006
Last NPPES UpdateAugust 3, 2009
✔ NPI 1215947049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in NC · 2005-00596✔ Licensed in NY · 227931-1
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
393 OAK STREET, Spindale, NC 28160
Open in Google Maps ↗

Other Identifiers 6

Medicaid5907501NC
Medicare ID-Type Unspecified2045533
Other046V1NC · Bcbs
Medicare UPINH86599
Other182182Medcost
OtherP00716057Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mathukutty Joseph 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 ID7113982992
PECOS Enrollment IDI20050926000855
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.

Medicare Billing Reassignment

Medicare enrollment records show Mathukutty Joseph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dlp Rutherford Physician Practices LLC
2.0 mi
Rural Health
444 NC 108 HWY
Rutherfordton, NC 28139
  • Reassigned Medicare billing, North Carolina enrollment
  • 76 clinicians in this Medicare group
NPI 1720849391 (828) 287-7846

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
87 services24 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.
76 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
31 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services19 patients

Hospital Affiliations CMS Care Compare

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

Rutherford Regional Medical Center

Acute Care Hospitals · Rutherfordton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340013
Location288 South Ridgecrest AveRutherfordton, NC 28139 · Rutherford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28160 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

RUTHERFORD HOSPITAL, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
393 OAK STREET, SUITE 100
SPINDALE, NC 28160
Rutherford County (828) 287-3928

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 Mathukutty Joseph's NPI number?

The NPI number for Mathukutty Joseph is 1215947049. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Mathukutty Joseph located?

Mathukutty Joseph practices at 393 Oak Street Suite 100, Spindale, NC 28160. The listed phone number is (828) 287-3928.

What is Mathukutty Joseph's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mathukutty Joseph enrolled in Medicare?

Yes. Mathukutty Joseph 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.

Which organization bills Medicare for Mathukutty Joseph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mathukutty Joseph reassigns Medicare benefits to Dlp Rutherford Physician Practices LLC (Rutherfordton, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mathukutty Joseph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mathukutty Joseph accept?

Health plans from AmeriHealth Caritas Next, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Mathukutty Joseph 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 Mathukutty Joseph affiliated with any hospitals?

According to CMS data, Mathukutty Joseph is affiliated with Rutherford Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mathukutty Joseph was last updated on August 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.