SALIL B MATHUR MD
NPI 1568840205
Family Medicine in Woodinville, WA

Active since May 14, 2015PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
17638 140TH AVE NE, WOODINVILLE, WA 98072(206) 520-5000 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2023, Sep 20, 2021, Aug 15, 2019 and 2 more (5 updates tracked since 2018).

About Salil B Mathur Md NPPES

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

SALIL B MATHUR MD (NPI 1568840205) is an individual family medicine provider in Woodinville, Washington, licensed in Washington (MD61156799) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568840205
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSALIL B MATHURCredential: MD
Location Address17638 140TH AVE NEWoodinville, WA 98072-6800
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 14, 2015
Last NPPES UpdateOctober 9, 20235 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1568840205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD61156799
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.
17638 140TH AVE NE, Woodinville, WA 98072

Accepted Insurance

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

Salil B Mathur 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 ID1658648647
PECOS Enrollment IDI20210924001797
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

2

Medicare enrollment records show Salil Mathur reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
10131 MAIN ST
Bothell, WA 98011
  • Reassigned Medicare billing, Washington enrollment
  • 1,074 clinicians in this Medicare group
Anesthesiology
701 5TH AVE, SUITE 700
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 4,364 clinicians in this Medicare group

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 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 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.
126 services85 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.
93 services81 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.
53 services44 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.
22 services22 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98072 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Dietitian, Registered
17638 140TH AVE NE
WOODINVILLE, WA 98072
Internal Medicine
17638 140TH AVE NE
WOODINVILLE, WA 98072
Nurse Practitioner (Family)
17638 140TH AVE NE
WOODINVILLE, WA 98072
Family Medicine
17638 140TH AVE NE
WOODINVILLE, WA 98072
Nurse Practitioner (Family)
17638 140TH AVE NE
WOODINVILLE, WA 98072
Nurse Practitioner (Family)
17638 140TH AVE NE
WOODINVILLE, WA 98072
Nurse Practitioner (Family)
17638 140TH AVE NE
WOODINVILLE, WA 98072
Family Medicine
17638 140TH AVE NE
WOODINVILLE, WA 98072

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 Salil Mathur's NPI number?

The NPI number for Salil Mathur is 1568840205. It was assigned to this individual provider in the NPPES registry on May 14, 2015.

Where is Salil Mathur located?

Salil Mathur practices at 17638 140th Ave NE, Woodinville, WA 98072. The listed phone number is (206) 520-5000.

What is Salil Mathur's specialty?

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

Is Salil Mathur enrolled in Medicare?

Yes. Salil 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.

Which organizations bill Medicare for Salil Mathur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Salil Mathur reassigns Medicare benefits to 2 organizations: King County Public Hospital District No 2 (Bothell, WA) and The Association Of University Physicians (Seattle, WA). 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 Salil Mathur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Salil Mathur accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Salil 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.

When was this NPI record last updated?

The NPPES record for Salil Mathur was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.