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DR. MUKESH N MATHUR M.D.
NPI 1295769834
Internal Medicine in Huntingtown, MD

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
85.6/100
CMS Quality Rating
3995 OLD TOWN RD, SUITE 202, HUNTINGTOWN, MD 20639(410) 535-1451(410) 535-9620 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mukesh N Mathur M.d. NPPES

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

DR. MUKESH N MATHUR M.D. (NPI 1295769834) is an individual internal medicine provider in Huntingtown, Maryland, licensed in Maryland (D-0025435) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Calverthealth Medical Center, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1295769834
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MUKESH N MATHURCredential: M.D.
Location Address3995 OLD TOWN RD, SUITE 202Huntingtown, MD 20639-3041
Mailing AddressCalvert Internal Medicine Group, P.a., 985 Prince Frederick Blvd., Ste 201Prince Frederick, MD 20678-3042 · (410) 535-2005 · Fax (443) 432-3683
Phone(410) 535-1451
Fax(410) 535-9620
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 26, 2024
✔ NPI 1295769834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D-0025435
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3995 OLD TOWN RD, Huntingtown, MD 20639
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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. Mukesh N Mathur 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 ID4789870312
PECOS Enrollment IDI20101122001127
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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
508 services230 patients
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.
428 services216 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services14 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
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

85.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality64.01
Improvement Activities40
Cost100

Reported Quality Measures

Breast Cancer Screening
46%26 patients2/55-star benchmark: 93%
Colorectal Cancer Screening
0%54 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
71%48 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
32%92 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%43 patients1/55-star benchmark: 100%
HIV Screening
0%39 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
14%77 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
3%67 patients1/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%21 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 43 patients
Patients totalRate: 5% · 43 patients
5%43 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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers65 claims133 services$6.30 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers14 claims15 services$0.95 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers16 claims16 services$207.99 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.

DR. THIBIN D SANTHA M.D.
Internal Medicine (Nephrology)
3995 OLD TOWN RD, STE 203
HUNTINGTOWN, MD 20639
Calvert County (410) 535-1005
DR. VARKEY MATHEW MD
Internal Medicine (Cardiovascular Disease)
3995 OLD TOWN RD, SUITE 101
HUNTINGTOWN, MD 20639
Calvert County (410) 535-3612
JOAN MALDONADO-RESTO CRNP
Nurse Practitioner (Family)
3995 OLD TOWN RD
HUNTINGTOWN, MD 20639
Calvert County (410) 536-3612
DR. AMIR ZAHIR M.D.
Dermatology
3995 OLD TOWN RD, STE 201
HUNTINGTOWN, MD 20639
Calvert County (410) 535-0666
MS. VASUNDHARA MUTHU M.D.
Internal Medicine (Cardiovascular Disease)
3995 OLD TOWN RD, SUITE 101
HUNTINGTOWN, MD 20639
Calvert County (410) 535-3612
MANOJ MATHUR MD
Internal Medicine
3995 OLD TOWN RD, SUITE 202
HUNTINGTOWN, MD 20639
Calvert County (410) 535-1451

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 Mukesh Mathur's NPI number?

The NPI number for Mukesh Mathur is 1295769834. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Mukesh Mathur located?

Mukesh Mathur practices at 3995 Old Town Rd Suite 202, Huntingtown, MD 20639. The listed phone number is (410) 535-1451.

What is Mukesh Mathur's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mukesh Mathur enrolled in Medicare?

Yes. Mukesh Mathur 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 Mukesh Mathur affiliated with any hospitals?

According to CMS data, Mukesh Mathur is affiliated with Calverthealth Medical Center.

When was this NPI record last updated?

The NPPES record for Mukesh Mathur was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.