AMARBIR SINGH MATTEWAL MD
NPI 1346462660
Internal Medicine - Pulmonary Disease in The Woodlands, TX

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
86.66/100
CMS Quality Rating
1111 MEDICAL PLAZA DR, SUITE 250, THE WOODLANDS, TX 77380(281) 296-8788(281) 419-1291 Get Directions Write a Review

NPPES record last updated: November 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amarbir Singh Mattewal Md NPPES

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

AMARBIR SINGH MATTEWAL MD (NPI 1346462660) is an individual pulmonary disease provider in The Woodlands, Texas, licensed in Texas (N0255) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1346462660
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameAMARBIR SINGH MATTEWALCredential: MD
Location Address1111 MEDICAL PLAZA DR, SUITE 250The Woodlands, TX 77380-3476
Mailing AddressPo Box 8307The Woodlands, TX 77387-8307 · (281) 296-8788 · Fax (281) 419-1921
Fax(281) 419-1291
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 3, 2007
Last NPPES UpdateNovember 21, 2014
NPI 1346462660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TX · N0255
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301083636 (MI)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License N0255 (TX)
1111 MEDICAL PLAZA DR, The Woodlands, TX 77380

Other Identifiers 4

Medicaid283714802TX
Medicaid283714801TX
Medicare PINTXB131055TX
Medicare PINTXB131058TX

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

Amarbir Singh Mattewal 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 ID244409548
PECOS Enrollment IDI20110802000697
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 24

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.
585 services393 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
490 services205 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.
346 services236 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.
200 services110 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
135 services130 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
119 services116 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Conroe

Acute Care Hospitals · Conroe, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450222
Location504 Medical Center BlvdConroe, TX 77304 · Montgomery County
Emergency services Birthing friendly

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Aspire Hospital

Acute Care Hospitals · Conroe, TX
OwnershipPhysician
CMS Certification Number670093
Location2006 South Loop 336 West, Suite 500Conroe, TX 77304 · Montgomery County

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77380 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 $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

86.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98.35
Promoting Interoperability100
Improvement Activities40
Cost41.3

Reported Quality Measures

Advance Care Plan
100%891 patients5/55-star benchmark: 100%
Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy
100%370 patients
Controlling High Blood Pressure
80%705 patients4/55-star benchmark: 98%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
100%228 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,867 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,565 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 130 patients
Patients screened: 100% · 887 patients
100%887 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 100% · 824 patients
100%824 patients
Provide Patients Electronic Access to Their Health Information
100%1,711 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
4%468 patients1/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
100%559 patients5/55-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 35

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
17 suppliers192 claims192 services$34.07 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers13 claims29 services$1.20 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
8 suppliers26 claims26 services$13.21 avg. paid by Medicare
Filter, disposable, used with aerosol compressor or ultrasonic generator A7013
DME-Other DME · category DE000N
6 suppliers22 claims22 services$0.44 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
5 suppliers14 claims14 services$1.05 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
19 suppliers126 claims126 services$75.77 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.

Physician Assistant (Surgical)
1111 MEDICAL PLAZA DR
SHENANDOAH, TX 77380
Nurse Practitioner (Acute Care)
1111 MEDICAL PLAZA DR
THE WOODLANDS, TX 77380
Nurse Practitioner
1111 MEDICAL PLAZA DR, SUITE 250
THE WOODLANDS, TX 77380
Internal Medicine (Pulmonary Disease)
1111 MEDICAL PLAZA DR, SUITE 250
THE WOODLANDS, TX 77380
Internal Medicine (Pulmonary Disease)
1111 MEDICAL PLAZA DR, SUITE 250
THE WOODLANDS, TX 77380
Family Medicine
1111 MEDICAL PLAZA DR, SUITE 230
THE WOODLANDS, TX 77380
Internal Medicine
1111 MEDICAL PLAZA DR, SUITE 250
THE WOODLANDS, TX 77380
Internal Medicine
1111 MEDICAL PLAZA DR, SUITE 190
THE WOODLANDS, TX 77380

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 Amarbir Mattewal's NPI number?

The NPI number for Amarbir Mattewal is 1346462660. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Amarbir Mattewal located?

Amarbir Mattewal practices at 1111 Medical Plaza Dr Suite 250, The Woodlands, TX 77380. The listed phone number is (281) 296-8788.

What is Amarbir Mattewal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Amarbir Mattewal enrolled in Medicare?

Yes. Amarbir Mattewal 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 Amarbir Mattewal accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Amarbir Mattewal 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 Amarbir Mattewal affiliated with any hospitals?

According to CMS data, Amarbir Mattewal is affiliated with Memorial Hermann Hospital System, Hca Houston Healthcare Conroe, St Luke's The Woodlands Hospital, Aspire Hospital and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Amarbir Mattewal was last updated on November 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.