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DR. USHA MATHUR-WAGH M.D
NPI 1598978371
Internal Medicine - Infectious Disease in New York, NY

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
352 7TH AVE RM 1205, NEW YORK, NY 10001(212) 627-7560 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Usha Mathur-wagh M.d NPPES

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

DR. USHA MATHUR-WAGH M.D (NPI 1598978371) is an individual infectious disease provider in New York, New York, licensed in New York (130425) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1598978371
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. USHA MATHUR-WAGHCredential: M.D
Location Address352 7TH AVE RM 1205New York, NY 10001-5411
Mailing Address6255 W Sunset Blvd Fl 21Los Angeles, CA 90028-7422 · (323) 860-5200 · Fax (323) 467-7119
Phone(212) 627-7560
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateMay 8, 2007
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1598978371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NY · 130425
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
352 7TH AVE RM 1205, New York, NY 10001
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Other Identifiers 1

Medicaid01536401NY

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. Usha Mathur-wagh 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 ID1254407034
PECOS Enrollment IDI20080902000104
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 2

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.
54 services32 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.
46 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10001 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier14 claims269 services$0.03 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 2

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

MR. EDWIN CALDERON PA-C
Physician Assistant
352 7TH AVE RM 1205
NEW YORK, NY 10001
New York County (212) 627-7560
ERIC G LEACH-RODRIGUEZ DE ARRIBA NP
Nurse Practitioner (Family)
352 7TH AVE RM 1205
NEW YORK, NY 10001
New York County (212) 627-7560

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 Usha Mathur-wagh's NPI number?

The NPI number for Usha Mathur-wagh is 1598978371. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Usha Mathur-wagh located?

Usha Mathur-wagh practices at 352 7th Ave Rm 1205, New York, NY 10001. The listed phone number is (212) 627-7560.

What is Usha Mathur-wagh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Usha Mathur-wagh enrolled in Medicare?

Yes. Usha Mathur-wagh 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.

When was this NPI record last updated?

The NPPES record for Usha Mathur-wagh was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.