VIJAY K. MAHATHRE M.D.
NPI 1528047016
Family Medicine in Hazlehurst, GA

Q: What is Vijay Mahathre's NPI number?

The NPI number for Vijay Mahathre is 1528047016. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Q: What is Vijay Mahathre's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vijay Mahathre was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 12, 2006PECOS EnrolledAccepts Medicare Assignment

87.92/100

CMS Quality Rating

163 S TALLAHASSEE ST, HAZLEHURST, GA 31539(912) 375-7781(912) 375-4055 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Vijay K. Mahathre M.d. NPPES

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

VIJAY K. MAHATHRE M.D. (NPI 1528047016) is an individual family medicine provider in Hazlehurst, Georgia, licensed in Georgia (41612) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Navicent Health Baldwin, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1528047016

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameVIJAY K. MAHATHRECredential: M.D.

Location Address163 S TALLAHASSEE STHazlehurst, GA 31539-6465

Mailing AddressPo Box 277329Atlanta, GA 30384-7329 · (800) 377-8721 · Fax (304) 523-2241

Phone(912) 375-7781

Fax(912) 375-4055

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateJanuary 12, 2006

Last NPPES UpdateDecember 11, 2019

✔ NPI 1528047016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 41612

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 041612 (GA)

163 S TALLAHASSEE ST, Hazlehurst, GA 31539

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Other Identifiers 2

Other52581283022GA · Bluecross Blueshield

Medicaid000721201SGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Vijay K. Mahathre 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 ID8527059005

PECOS Enrollment IDI20040522000167

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 9

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

205 services194 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

181 services165 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

97 services95 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

86 services54 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

36 services30 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Navicent Health Baldwin

Acute Care Hospitals · Milledgeville, GA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number110150

Location821 North Cobb StreetMilledgeville, GA 31061 · Baldwin County

Emergency services Birthing friendly

Bleckley Memorial Hospital

Critical Access Hospitals · Cochran, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111302

Location145 Peacock StreetCochran, GA 31014 · Bleckley County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31539 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

87.92/100

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

Scored as part of a group practice

Quality

66.99

Improvement Activities

Cost

100

Other Providers at the Same Location NPPES 19

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

HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA

Psychiatric Unit