DR. AJAY UMESH MHATRE M.D.
NPI 1235227133
Internal Medicine - Interventional Cardiology in Panama City, FL

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
93.46/100
CMS Quality Rating
625 W BALDWIN RD STE C, PANAMA CITY, FL 32405(850) 769-0329(844) 563-8135 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2021, Feb 26, 2020, Jan 16, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Ajay Umesh Mhatre M.d. NPPES

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

DR. AJAY UMESH MHATRE M.D. (NPI 1235227133) is an individual interventional cardiology provider in Panama City, Florida, licensed in Florida (ME112316) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Sacred Heart Bay, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1235227133
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. AJAY UMESH MHATRECredential: M.D.
Location Address625 W BALDWIN RD STE CPanama City, FL 32405-3359
Mailing Address625 W Baldwin Rd Ste CPanama City, FL 32405-3359 · (850) 769-0329 · Fax (844) 563-8135
Fax(844) 563-8135
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 10, 2006
Last NPPES UpdateAugust 5, 20214 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
NPI 1235227133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses Licensed in FL · ME112316 Licensed in AZ · 46140
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License TRN9113 (FL)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 46140 (AZ)
625 W BALDWIN RD STE C, Panama City, FL 32405

Secondary Practice Locations 3

Location 16036 N 19th Ave Ste 204Phoenix, AZ 85015-2104 · Phone (480) 626-1746 · Fax (480) 616-0603
Location 22745 S Alma School Rd Ste 3Chandler, AZ 85286-4405 · Phone (480) 292-8542 · Fax (480) 616-0603
Location 317218 N 72nd Dr # 101Glendale, AZ 85308-8580 · Phone (623) 334-8671 · Fax (623) 334-8675

Other Identifiers 3

Other46140AZ · License
Medicaid708611AZ
OtherME112316FL · License

Accepted 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. Ajay Umesh Mhatre 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 ID4284880196
PECOS Enrollment IDI20130813000448
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 45

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,311 services922 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
740 services185 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
632 services631 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
483 services475 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.
452 services278 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
258 services256 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100026
Location615 N Bonita AvePanama City, FL 32401 · Bay County
Emergency services

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100242
Location449 W 23rd StPanama City, FL 32405 · Bay County
Emergency services Birthing friendly

Ascension Sacred Heart Gulf

Acute Care Hospitals · Port Saint Joe, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100313
Location3801 E Hwy 98Port Saint Joe, FL 32456 · Gulf County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32405 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

93.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.92
Improvement Activities40

Reported Quality Measures

Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
7%55 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
1%553 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
4%362 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%362 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
20%54 patients1/55-star benchmark: 89%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physical Therapist
625 W BALDWIN RD STE C
PANAMA CITY, FL 32405
Nurse Practitioner (Family)
625 W BALDWIN RD STE C
PANAMA CITY, FL 32405
Nurse Practitioner (Family)
625 W BALDWIN RD STE C
PANAMA CITY, FL 32405
Internal Medicine (Interventional Cardiology)
625 W BALDWIN RD STE C
PANAMA CITY, FL 32405
Internal Medicine (Cardiovascular Disease)
625 W BALDWIN RD STE C
PANAMA CITY, FL 32405
Internal Medicine (Clinical Cardiac Electrophysiology)
625 W BALDWIN RD STE C
PANAMA CITY, FL 32405
Physical Therapist
625 W BALDWIN RD STE C
PANAMA CITY, FL 32405
Internal Medicine (Cardiovascular Disease)
625 W BALDWIN RD STE C
PANAMA CITY, FL 32405

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 Ajay Mhatre's NPI number?

The NPI number for Ajay Mhatre is 1235227133. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Ajay Mhatre located?

Ajay Mhatre practices at 625 W Baldwin Rd Ste C, Panama City, FL 32405. The listed phone number is (850) 769-0329.

What is Ajay Mhatre's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Ajay Mhatre enrolled in Medicare?

Yes. Ajay Mhatre 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 Ajay Mhatre accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Ajay Mhatre 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 Ajay Mhatre affiliated with any hospitals?

According to CMS data, Ajay Mhatre is affiliated with Ascension Sacred Heart Bay, Hca Florida Gulf Coast Hospital and Ascension Sacred Heart Gulf.

When was this NPI record last updated?

The NPPES record for Ajay Mhatre was last updated on August 5, 2021. 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.