AJAY K MATHUR M.D.
NPI 1619979002
Internal Medicine - Rheumatology in Monongahela, PA

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
1029 COUNTRY CLUB RD, SUITE 203, MONONGAHELA, PA 15063(724) 258-9680(724) 258-3193 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ajay K Mathur M.d. NPPES

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

AJAY K MATHUR M.D. (NPI 1619979002) is an individual rheumatology provider in Monongahela, Pennsylvania, licensed in Pennsylvania (MD039612L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1619979002
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameAJAY K MATHURCredential: M.D.
Location Address1029 COUNTRY CLUB RD, SUITE 203Monongahela, PA 15063-1564
Mailing Address506 Athena DrDelmont, PA 15626-1005 · (724) 446-8686 · Fax (724) 468-6207
Fax(724) 258-3193
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateAugust 15, 2005
Last NPPES UpdateJune 25, 2008
NPI 1619979002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in PA · MD039612L
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

1029 COUNTRY CLUB RD, Monongahela, PA 15063

Other Identifiers 3

Medicare UPINC34502PA
Medicaid0009962610002PA
Medicare ID-Type Unspecified472511

Accepted 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

Ajay K Mathur 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 ID8426240540
PECOS Enrollment IDI20101007001139
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
275 services147 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
94 services71 patients
New patient office or other outpatient visit, 45-59 minutes 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.
39 services39 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
25 services19 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
18 services15 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
17 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

Washington Hospital, The

Acute Care Hospitals · Washington, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390042
Location155 Wilson AvenueWashington, PA 15301 · Washington County
Emergency services Birthing friendly

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390147
Location1163 Country Club RoadMonongahela, PA 15063 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15063 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Dermatology
1029 COUNTRY CLUB RD, SUITE 201
MONONGAHELA, PA 15063
Internal Medicine (Rheumatology)
1029 COUNTRY CLUB RD
MONONGAHELA, PA 15063

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619979002, enumerated as an "individual" on August 15, 2005.

The provider is located at 1029 COUNTRY CLUB RD SUITE 203 MONONGAHELA, PA 15063 and the phone number is (724) 258-9680.

Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter. Please consult your insurance carrier or call the provider to verify.

Ajay Mathur is affiliated with: UNIONTOWN HOSPITAL, WASHINGTON HOSPITAL, THE, EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL and PENN HIGHLANDS MON VALLEY.