DR. NESTORAS NICOLAS MATHIOUDAKIS M.D.
NPI 1487781563
Internal Medicine - Endocrinology, Diabetes & Metabolism in Baltimore, MD

Active since February 27, 2007PECOS Enrolled
74.39/100
CMS Quality Rating
601 N CAROLINE ST, BALTIMORE, MD 21287(410) 955-3663 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Nestoras Nicolas Mathioudakis M.d. NPPES

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

DR. NESTORAS NICOLAS MATHIOUDAKIS M.D. (NPI 1487781563) is an individual endocrinology, diabetes & metabolism provider in Baltimore, Maryland, licensed in Maryland (D73952) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Johns Hopkins University School Of Medicine (2006).

NPPES Registry Identity

NPI1487781563
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. NESTORAS NICOLAS MATHIOUDAKISCredential: M.D.
Location Address601 N CAROLINE STBaltimore, MD 21287-0006
Mailing AddressPo Box 64264Baltimore, MD 21264-4264 · (410) 955-3663
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2006
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJanuary 29, 2013
NPI 1487781563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in MD · D73952
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
601 N CAROLINE ST, Baltimore, MD 21287

Other Identifiers 2

Medicaid055304200MD
Medicare PIN241856ZAC3MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Nestoras Nicolas Mathioudakis M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810152584
PECOS Enrollment IDI20120702000147
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 5

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
65 services40 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.
37 services30 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.
19 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services14 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.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier12 claims12 services$309.04 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
9 suppliers203 claims203 services$187.78 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 (Pulmonary Disease)
601 N CAROLINE ST
BALTIMORE, MD 21287
Radiology (Diagnostic Radiology)
601 N CAROLINE ST
BALTIMORE, MD 21287
Speech-Language Pathologist
601 N CAROLINE ST
BALTIMORE, MD 21287
Dermatology
601 N CAROLINE ST
BALTIMORE, MD 21287
Nurse Practitioner (Adult Health)
601 N CAROLINE ST
BALTIMORE, MD 21287
Physician Assistant (Surgical)
601 N CAROLINE ST, #5263
BALTIMORE, MD 21287
Physician Assistant (Medical)
601 N CAROLINE ST
BALTIMORE, MD 21287
Orthopaedic Surgery (Hand Surgery)
601 N CAROLINE ST, RM 5210
BALTIMORE, MD 21287

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 Nestoras Mathioudakis's NPI number?

The NPI number for Nestoras Mathioudakis is 1487781563. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Nestoras Mathioudakis located?

Nestoras Mathioudakis practices at 601 N Caroline St, Baltimore, MD 21287. The listed phone number is (410) 955-3663.

What is Nestoras Mathioudakis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Nestoras Mathioudakis enrolled in Medicare?

Yes. Nestoras Mathioudakis is registered in the Medicare PECOS enrollment system.

Is Nestoras Mathioudakis affiliated with any hospitals?

According to CMS data, Nestoras Mathioudakis is affiliated with Johns Hopkins Hospital, The and Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Nestoras Mathioudakis was last updated on January 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.