DR. VARKEY MATHEW MD
NPI 1245211481
Internal Medicine - Cardiovascular Disease in Huntingtown, MD

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
90.58/100
CMS Quality Rating
3995 OLD TOWN RD, SUITE 101, HUNTINGTOWN, MD 20639(410) 535-3612(410) 535-3613 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Varkey Mathew Md NPPES

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

DR. VARKEY MATHEW MD (NPI 1245211481) is an individual cardiovascular disease provider in Huntingtown, Maryland, licensed in Maryland (D0045435) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Calverthealth Medical Center, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1245211481
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. VARKEY MATHEWCredential: MD
Location Address3995 OLD TOWN RD, SUITE 101Huntingtown, MD 20639-3039
Mailing Address3995 Old Town Rd, Suite 101Huntingtown, MD 20639-9407 · (410) 535-3612 · Fax (410) 535-3613
Fax(410) 535-3613
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateNovember 7, 2005
Last NPPES UpdateDecember 30, 2015
NPI 1245211481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MD · D0045435
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3995 OLD TOWN RD, Huntingtown, MD 20639

Other Identifiers 3

Other516PMD · Group Medicare Md Number
Medicaid4173341P001MD
Medicare PIN516P004HMD

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. Varkey Mathew Md 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 ID6103845581
PECOS Enrollment IDI20071112000319
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 27

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 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.
1,212 services742 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.
1,155 services696 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.
828 services597 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
732 services539 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
525 services490 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
498 services367 patients

Hospital Affiliations CMS Care Compare

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

Calverthealth Medical Center

Acute Care Hospitals · Prince Frederick, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210039
Location100 Hospital RoadPrince Frederick, MD 20678 · Calvert County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20639 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

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.

90.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40
Cost68.62

Reported Quality Measures

Breast Cancer Screening
87%279 patients4/55-star benchmark: 93%
Cervical Cancer Screening
78%219 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
1%118 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
70%754 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
85%347 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
84%347 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
91%1,378 patients4/55-star benchmark: 100%
e-Prescribing
98%1,082 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
87%535 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
17%980 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
3%883 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
26%533 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 85% · 248 patients
Patients screened: 92% · 248 patients
26%23 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%1,028 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%910 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 558 patients
Patients totalRate: 2% · 558 patients
2%558 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier21 claims21 services$11.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$58.93 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 6

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

Internal Medicine (Nephrology)
3995 OLD TOWN RD, STE 203
HUNTINGTOWN, MD 20639
Internal Medicine
3995 OLD TOWN RD, SUITE 202
HUNTINGTOWN, MD 20639
Nurse Practitioner (Family)
3995 OLD TOWN RD
HUNTINGTOWN, MD 20639
Dermatology
3995 OLD TOWN RD, STE 201
HUNTINGTOWN, MD 20639
Internal Medicine (Cardiovascular Disease)
3995 OLD TOWN RD, SUITE 101
HUNTINGTOWN, MD 20639
Internal Medicine
3995 OLD TOWN RD, SUITE 202
HUNTINGTOWN, MD 20639

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 Varkey Mathew's NPI number?

The NPI number for Varkey Mathew is 1245211481. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Varkey Mathew located?

Varkey Mathew practices at 3995 Old Town Rd Suite 101, Huntingtown, MD 20639. The listed phone number is (410) 535-3612.

What is Varkey Mathew's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Varkey Mathew enrolled in Medicare?

Yes. Varkey Mathew 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.

Is Varkey Mathew affiliated with any hospitals?

According to CMS data, Varkey Mathew is affiliated with Calverthealth Medical Center.

When was this NPI record last updated?

The NPPES record for Varkey Mathew was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.