DR. BINI MATHEW MBBS
NPI 1366672529
Hospitalist in Douglasville, GA

Active since July 22, 2009PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134(678) 838-2585 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2019, Feb 17, 2016 (2 updates tracked since 2016).

About Dr. Bini Mathew Mbbs NPPES

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

DR. BINI MATHEW MBBS (NPI 1366672529) is an individual hospitalist provider in Douglasville, Georgia, licensed in Georgia (072023) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Wellstar Cobb Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1366672529
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. BINI MATHEWCredential: MBBS
Location Address8954 HOSPITAL DRDouglasville, GA 30134-2272
Mailing Address805 Sandy Plains Road, Medical Staff ServicesMarietta, GA 30066-6340
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 22, 2009
Last NPPES UpdateOctober 31, 20192 updates tracked since enumeration
NPI 1366672529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in GA · 072023
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 9407315 (KS), 072023 (GA)
8954 HOSPITAL DR, Douglasville, GA 30134

Other Names 1

Former Name (1)Bini Oommen

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

Dr. Bini Mathew Mbbs 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 ID941440952
PECOS Enrollment IDI20141027001562
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

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.

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.
164 services152 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
8954 HOSPITAL DR, BUILDING B, SUITE 115
DOUGLASVILLE, GA 30134
Physician Assistant (Medical)
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Nurse Practitioner (Family)
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Physical Therapist
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Internal Medicine
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Family Medicine
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Anesthesiology
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Physician Assistant (Medical)
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134

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 Bini Mathew's NPI number?

The NPI number for Bini Mathew is 1366672529. It was assigned to this individual provider in the NPPES registry on July 22, 2009. The provider is also known as Bini Oommen.

Where is Bini Mathew located?

Bini Mathew practices at 8954 Hospital Dr, Douglasville, GA 30134. The listed phone number is (678) 838-2585.

What is Bini Mathew's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Bini Mathew enrolled in Medicare?

Yes. Bini 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 Bini Mathew accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Bini 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 Bini Mathew affiliated with any hospitals?

According to CMS data, Bini Mathew is affiliated with Wellstar Cobb Medical Center and Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Bini Mathew was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.