DR. PRAKASH JOEL MATHEW MD, MBA
NPI 1356698013
Plastic Surgery in Phildelphia, PA

Q: What is Prakash Mathew's NPI number?

The NPI number for Prakash Mathew is 1356698013. It was assigned to this individual provider in the NPPES registry on August 12, 2012.

Q: What is Prakash Mathew's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Prakash Mathew was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since August 12, 2012PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

3400 SPRUCE ST, PHILDELPHIA, PA 19104(215) 662-2096(215) 349-5895 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2024, Sep 15, 2022, Aug 15, 2022 and 2 more (5 updates tracked since 2018).

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About Dr. Prakash Joel Mathew Md, Mba NPPES

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

DR. PRAKASH JOEL MATHEW MD, MBA (NPI 1356698013) is an individual plastic surgery provider in Phildelphia, Pennsylvania, licensed in Pennsylvania (MD473789) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1356698013

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. PRAKASH JOEL MATHEWCredential: MD, MBA

Location Address3400 SPRUCE STPhildelphia, PA 19104-4206

Mailing Address3400 Spruce StPhildelphia, PA 19104-4206 · (215) 662-2096 · Fax (215) 349-5895

Phone(215) 662-2096

Fax(215) 349-5895

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 12, 2012

Last NPPES UpdateNovember 4, 20245 updates tracked since enumeration

NPPES CertifiedNovember 4, 2024

✔ NPI 1356698013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in PA · MD473789✔ Licensed in NJ · 25MA11102600

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

3400 SPRUCE ST, Phildelphia, PA 19104

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Other Identifiers 1

Medicaid0856983NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Prakash Joel Mathew Md, Mba 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 ID4981968617

PECOS Enrollment IDI20220714000632

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.

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.

26 services22 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310022

Location100 Bowman DriveVoorhees, NJ 08043 · Camden County

Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310057

Location175 Madison AveMount Holly, NJ 08060 · Burlington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

ELIZABETH FOGLIA MD

Pediatrics

3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3228

JOEL M STEIN MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3005

PRISCILLA NELSON M.D.

Anesthesiology

3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

DR. JASON THOMAS ACKRIVO MD

Internal Medicine (Pulmonary Disease)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 614-0871

JEAN-PHILIPPE RICHARD DMD

Student in an Organized Health Care Education/Training Program

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6176

LEAH M LOPEZ PA-C

Physician Assistant (Medical)

3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-7870

JOANIE M GARRATT MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3000

JENNIFER DEKERLEGAND

Physical Therapist

3400 SPRUCE ST, 1 WHITE BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3265

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 Prakash Mathew's NPI number?

The NPI number for Prakash Mathew is 1356698013. It was assigned to this individual provider in the NPPES registry on August 12, 2012.

Where is Prakash Mathew located?

Prakash Mathew practices at 3400 Spruce St, Phildelphia, PA 19104. The listed phone number is (215) 662-2096.

What is Prakash Mathew's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Prakash Mathew enrolled in Medicare?

Yes. Prakash 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 Prakash Mathew accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Prakash 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 Prakash Mathew affiliated with any hospitals?

According to CMS data, Prakash Mathew is affiliated with West Jersey Hospital and Virtua Mount Holly Hospital.

When was this NPI record last updated?

The NPPES record for Prakash Mathew was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.