TOM MATHEW M.D.
NPI 1336395649
Internal Medicine in Amherst, NY

Active since August 18, 2008PECOS EnrolledAccepts Medicare Assignment
4979 HARLEM RD, SUITE 1, AMHERST, NY 14226(716) 923-4380(716) 923-4384 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tom Mathew M.d. NPPES

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

TOM MATHEW M.D. (NPI 1336395649) is an individual internal medicine provider in Amherst, New York, licensed in New York (003194) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1336395649
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTOM MATHEWCredential: M.D.
Location Address4979 HARLEM RD, SUITE 1Amherst, NY 14226-2544
Mailing Address4979 Harlem Rd, Suite 1Amherst, NY 14226-2544 · (716) 923-4380 · Fax (716) 923-4384
Fax(716) 923-4384
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 18, 2008
NPI 1336395649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 003194
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.
4979 HARLEM RD, Amherst, NY 14226

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

Tom Mathew 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 ID2466529789
PECOS Enrollment IDI20150811004599
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 2

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 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.
640 services218 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.
163 services159 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360230
Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14226 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

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
2 suppliers18 claims18 services$68.15 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$31.53 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.

Family Medicine
4979 HARLEM RD
AMHERST, NY 14226
Internal Medicine
4979 HARLEM RD, SUITE 1
AMHERST, NY 14226
Nurse Practitioner (Adult Health)
4979 HARLEM RD
AMHERST, NY 14226
Internal Medicine
4979 HARLEM RD
AMHERST, NY 14226
Physician Assistant
4979 HARLEM RD
AMHERST, NY 14226
Internal Medicine
4979 HARLEM RD
AMHERST, NY 14226
Physician Assistant
4979 HARLEM RD, SUITE 1
AMHERST, NY 14226
Nurse Practitioner (Family)
4979 HARLEM RD
AMHERST, NY 14226

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 Tom Mathew's NPI number?

The NPI number for Tom Mathew is 1336395649. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Where is Tom Mathew located?

Tom Mathew practices at 4979 Harlem Rd Suite 1, Amherst, NY 14226. The listed phone number is (716) 923-4380.

What is Tom Mathew's specialty?

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

Is Tom Mathew enrolled in Medicare?

Yes. Tom 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.

What insurance does Tom Mathew accept?

Health plans from CareSource list Tom Mathew 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 Tom Mathew affiliated with any hospitals?

According to CMS data, Tom Mathew is affiliated with Cleveland Clinic and Hillcrest Hospital.

When was this NPI record last updated?

The NPPES record for Tom Mathew was last updated on August 18, 2008. 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.