DR. VIVIN MATHEW M.D.
NPI 1376938381
Family Medicine in Lithonia, GA

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
2801 DEKALB MEDICAL PKWY, LITHONIA, GA 30058(404) 501-8000 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Vivin Mathew M.d. NPPES

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

DR. VIVIN MATHEW M.D. (NPI 1376938381) is an individual family medicine provider in Lithonia, Georgia, licensed in Georgia (081217) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1376938381
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VIVIN MATHEWCredential: M.D.
Location Address2801 DEKALB MEDICAL PKWYLithonia, GA 30058
Mailing Address2801 Dekalb Medical PkwyLithonia, GA 30058-4996
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 6, 2015
Last NPPES UpdateJanuary 22, 2019
NPI 1376938381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 081217
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2801 DEKALB MEDICAL PKWY, Lithonia, GA 30058

Secondary Practice Location 1

Location 11900 10th Ave Ste 100Columbus, GA 31901-3601 · Phone (706) 571-1430

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. Vivin 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 ID4385950609
PECOS Enrollment IDI20180914000996
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.

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.
186 services74 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
60 services58 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30058 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$15.55 avg. paid by Medicare
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
1 supplier20 claims20 services$71.98 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.

Internal Medicine
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058
Internal Medicine
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058
Hospitalist
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058
Nurse Practitioner (Family)
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058
Emergency Medicine
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058
Physician Assistant
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058
Physician Assistant
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058
Physician Assistant
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058

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 Vivin Mathew's NPI number?

The NPI number for Vivin Mathew is 1376938381. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Vivin Mathew located?

Vivin Mathew practices at 2801 Dekalb Medical Pkwy, Lithonia, GA 30058. The listed phone number is (404) 501-8000.

What is Vivin Mathew's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vivin Mathew enrolled in Medicare?

Yes. Vivin 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.

Is Vivin Mathew affiliated with any hospitals?

According to CMS data, Vivin Mathew is affiliated with Emory Decatur Hospital and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Vivin Mathew was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.