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ANNA MATHEW MD
NPI 1396122941
Family Medicine in Manheim, PA

Active since May 04, 2015PECOS Enrolled
80 DOE RUN RD, MANHEIM, PA 17545(717) 664-0952(717) 664-0955 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 15, 2021, Aug 12, 2019 (2 updates tracked since 2019).

About Anna Mathew Md NPPES

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

ANNA MATHEW MD (NPI 1396122941) is an individual family medicine provider in Manheim, Pennsylvania, licensed in Pennsylvania (MD464355) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in York.

NPPES Registry Identity

NPI1396122941
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANNA MATHEWCredential: MD
Location Address80 DOE RUN RDManheim, PA 17545-9314
Mailing Address409 S 2nd St Ste 2fHarrisburg, PA 17104-1612 · Fax (717) 221-5673
Phone(717) 664-0952
Fax(717) 664-0955
Sole ProprietorNo
Enumeration DateMay 4, 2015
Last NPPES UpdateMarch 15, 20212 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
✔ NPI 1396122941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD464355
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.
80 DOE RUN RD, Manheim, PA 17545
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Secondary Practice Location 1

Location 11001 S George StYork, PA 17403-3676 · Phone (717) 851-2521

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Mathew Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Anna Mathew reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pinnacle Health Regional Physicians
Same address
Family Medicine
80 DOE RUN RD
Manheim, PA 17545
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 468 clinicians in this Medicare group
NPI 1003346230 (717) 664-0952
Wellspan Medical Group
0.1 mi
Family Medicine
107 W END DR
Manheim, PA 17545
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1902210289 (717) 721-4860
Pinnacle Health Medical Services
4.8 mi
Family Medicine
1535 HIGHLANDS DR STE 100
Lititz, PA 17543
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1053840421 (717) 627-4088
York Hospital
23 mi
Clinic/Center
605 S GEORGE ST, SUITE 200
York, PA 17403
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 272 clinicians in this Medicare group
NPI 1497814040 (717) 851-2334

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.
296 services138 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
225 services100 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
88 services88 patients
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.
47 services41 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
43 services43 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17545 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers30 claims75 services$6.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims11 services$0.92 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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PINNACLE HEALTH REGIONAL PHYSICIANS
Family Medicine
80 DOE RUN RD
MANHEIM, PA 17545
Lancaster County (717) 664-0952
RUTH ELLEN ATKINSON CRNP
Nurse Practitioner
80 DOE RUN RD
MANHEIM, PA 17545
Lancaster County (717) 664-0952
EUGENE K ENGLE M.D.
Family Medicine
80 DOE RUN RD
MANHEIM, PA 17545
Lancaster County (717) 664-0952
SHIVALI DIPAM PATEL JOHNSTON DO
Family Medicine
80 DOE RUN RD
MANHEIM, PA 17545
Lancaster County (717) 664-0952
LANCASTER MEDICAL GROUP, LLC
Family Medicine
80 DOE RUN RD
MANHEIM, PA 17545
Lancaster County (717) 664-0952

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 Anna Mathew's NPI number?

The NPI number for Anna Mathew is 1396122941. It was assigned to this individual provider in the NPPES registry on May 4, 2015.

Where is Anna Mathew located?

Anna Mathew practices at 80 Doe Run Rd, Manheim, PA 17545. The listed phone number is (717) 664-0952.

What is Anna Mathew's specialty?

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

Is Anna Mathew enrolled in Medicare?

Yes. Anna Mathew is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anna Mathew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Mathew reassigns Medicare benefits to 4 organizations: Pinnacle Health Regional Physicians (Manheim, PA), Wellspan Medical Group (Manheim, PA), Pinnacle Health Medical Services (Lititz, PA) and York Hospital (York, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anna Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anna Mathew was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.