DR. ARUN KUMAR MATHUR M.D.
NPI 1396805362
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Wooster, OH

Q: What is Arun Mathur's NPI number?

The NPI number for Arun Mathur is 1396805362. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Q: What is Arun Mathur's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Q: When was this NPI record last updated?

The NPPES record for Arun Mathur was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 11, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1749 CLEVELAND RD, WOOSTER, OH 44691(330) 264-9699(330) 264-7999 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Arun Kumar Mathur M.d. NPPES

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

DR. ARUN KUMAR MATHUR M.D. (NPI 1396805362) is an individual otolaryngology/facial plastic surgery provider in Wooster, Ohio, licensed in Ohio (35035820M) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Wooster Community Hospital, and is a graduate of Other (1968).

NPPES Registry Identity

NPI1396805362

Entity TypeIndividualMale

Primary Taxonomy207YX0905X

Provider Legal NameDR. ARUN KUMAR MATHURCredential: M.D.

Location Address1749 CLEVELAND RDWooster, OH 44691-2203

Mailing Address1749 Cleveland RdWooster, OH 44691-2203 · (330) 264-9699 · Fax (330) 264-7999

Phone(330) 264-9699

Fax(330) 264-7999

Sole ProprietorYes

Medical School CMSOtherGraduated 1968

Enumeration DateDecember 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1396805362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YX0905X

License✔ Licensed in OH · 35035820M

Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

1749 CLEVELAND RD, Wooster, OH 44691

Open in Google Maps ↗

Other Identifiers 3

Medicaid0289316OH

Medicare UPINF01958OH

Medicare ID-Type UnspecifiedMA0395171OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Arun Kumar Mathur 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 ID6901709021

PECOS Enrollment IDI20100924000030

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 12

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.

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

3,630 services90 patients

Professional service for single injection of allergen 95115

A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.

2,299 services72 patients

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

1,404 services55 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

500 services18 patients

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.

477 services323 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

233 services233 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.

97 services80 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

28 services28 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

25 services25 patients

Control of bleeding of nose using an endoscope 31238

This is a procedure where an endoscope, a thin tube with a light and camera, is used to view inside your nose. This allows the doctor to locate the source of the bleeding and control it, often by cauterization or packing the nose.

24 services19 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

21 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

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.

Wooster Community Hospital

Acute Care Hospitals · Wooster, OH

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number360036

Location1761 Beall AvenueWooster, OH 44691 · Wayne County

Emergency services Birthing friendly

Pomerene Hospital

Acute Care Hospitals · Millersburg, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number360148

Location981 Wooster RoadMillersburg, OH 44654 · Holmes County

Emergency services Birthing friendly

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.

75/100

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

Individually scored

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

87%1,956 patients3/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%409 patients5/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

92%671 patients3/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

14%2,013 patients1/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

86%1,649 patients4/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

0%536 patients1/55-star benchmark: 88%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

59%2,013 patients3/55-star benchmark: 100%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

1%2,013 patients

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.

Other Providers at the Same Location NPPES 14

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

CLINICAL STRATEGIES INC

Respiratory Therapist, Registered (Pulmonary Diagnostics)

1749 CLEVELAND RD
WOOSTER, OH 44691

Wayne County (330) 416-0307

DR. JAMES ROBERT HESSLER M.D.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

1749 CLEVELAND RD
WOOSTER, OH 44691

Wayne County (330) 264-9699

LAUREL WILSON AUD

Audiologist

1749 CLEVELAND RD
WOOSTER, OH 44691

Wayne County (330) 264-9699

WOOSTER ENT ASSOCIATES INC

Otolaryngology

1749 CLEVELAND RD
WOOSTER, OH 44691

Wayne County (330) 264-9699

CHRISTOPHER T WARTMANN MD

Otolaryngology

1749 CLEVELAND RD
WOOSTER, OH 44691

Wayne County (330) 264-9699

WOOSTER ENT ASSOC

Audiologist-Hearing Aid Fitter

1749 CLEVELAND RD, WOOSTER ENT
WOOSTER, OH 44691

Wayne County (330) 264-9699

DR. KEVIN KUMAR MATHUR M.D.

Otolaryngology

1749 CLEVELAND RD
WOOSTER, OH 44691

Wayne County (330) 264-9699

WOOSTER EAR NOSE AND THROAT

Audiologist-Hearing Aid Fitter

1749 CLEVELAND RD
WOOSTER, OH 44691

Wayne County (330) 264-9699

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 Arun Mathur's NPI number?

The NPI number for Arun Mathur is 1396805362. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Arun Mathur located?

Arun Mathur practices at 1749 Cleveland Rd, Wooster, OH 44691. The listed phone number is (330) 264-9699.

What is Arun Mathur's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Arun Mathur enrolled in Medicare?

Yes. Arun Mathur 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 Arun Mathur accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Arun Mathur 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 Arun Mathur affiliated with any hospitals?

According to CMS data, Arun Mathur is affiliated with Wooster Community Hospital and Pomerene Hospital.

When was this NPI record last updated?

The NPPES record for Arun Mathur was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.