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MR. JACOB K MATHEW MD
NPI 1407857634
Psychiatry & Neurology - Neurology in Patchogue, NY

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
76.52/100
CMS Quality Rating
475 E MAIN ST STE 205, PATCHOGUE, NY 11772(631) 394-2550(631) 654-1474 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Jacob K Mathew Md NPPES

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

MR. JACOB K MATHEW MD (NPI 1407857634) is an individual neurology provider in Patchogue, New York, licensed in New York (196027) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1407857634
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMR. JACOB K MATHEWCredential: MD
Location Address475 E MAIN ST STE 205Patchogue, NY 11772-3121
Mailing Address100 Oakland Ave, Suite 4Port Jefferson, NY 11777-2172 · (631) 476-4780 · Fax (631) 476-4781
Phone(631) 394-2550
Fax(631) 654-1474
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateAugust 10, 2005
Last NPPES UpdateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1407857634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NY · 196027
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
475 E MAIN ST STE 205, Patchogue, NY 11772
Open in Google Maps ↗

Other Identifiers 1

Medicaid01494779NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jacob K Mathew Md 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 ID1557558079
PECOS Enrollment IDI20101209001199
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

3

Medicare enrollment records show Jacob Mathew reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brookhaven Heart PLLC
0.3 mi
Cardiovascular Disease
325 E MAIN ST STE 120
Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 32 clinicians in this Medicare group
NPI 1639260607 (631) 654-3278
Brookhaven Memorial Hospital Medical Center, Inc.
0.5 mi
General Acute Care Hospital
33 MEDFORD AVENUE, SUITE D
Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 89 clinicians in this Medicare group
NPI 1508003716 (631) 687-4190
City Medical Of Upper East Side, PLLC
4.0 mi
Urgent Care
5600 SUNRISE HWY
Sayville, NY 11782
  • Reassigned Medicare billing, New York enrollment
  • 596 clinicians in this Medicare group
NPI 1063900322 (631) 563-7828

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 7

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.
418 services219 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.
126 services126 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
108 services12 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
39 services19 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
32 services14 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

Other Providers at the Same Location NPPES

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

KIM CYRIL THOMAS FNP
Nurse Practitioner (Family)
475 E MAIN ST STE 205
PATCHOGUE, NY 11772
Suffolk County (631) 394-2550

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 Jacob Mathew's NPI number?

The NPI number for Jacob Mathew is 1407857634. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Jacob Mathew located?

Jacob Mathew practices at 475 E Main St Ste 205, Patchogue, NY 11772. The listed phone number is (631) 394-2550.

What is Jacob Mathew's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jacob Mathew enrolled in Medicare?

Yes. Jacob 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.

Which organizations bill Medicare for Jacob Mathew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Mathew reassigns Medicare benefits to 3 organizations: Brookhaven Heart PLLC (Patchogue, NY), Brookhaven Memorial Hospital Medical Center, Inc. (Patchogue, NY) and City Medical Of Upper East Side, PLLC (Sayville, NY). 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 Jacob 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 Jacob Mathew was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.