DR. VINITA MATHUR MD
NPI 1730172305
Pathology - Anatomic Pathology & Clinical Pathology in Macon, GA

Active since August 29, 2005PECOS Enrolled
82.99/100
CMS Quality Rating
350 HOSPITAL DR, MACON, GA 31217(787) 654-8724(475) 751-0455 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Vinita Mathur Md NPPES

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

DR. VINITA MATHUR MD (NPI 1730172305) is an individual anatomic pathology & clinical pathology provider in Macon, Georgia, licensed in Tennessee (MD0000043396) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730172305
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. VINITA MATHURCredential: MD
Location Address350 HOSPITAL DRMacon, GA 31217-3838
Mailing Address350 Hospital DrMacon, GA 31217-3838 · (787) 654-8724 · Fax (475) 751-0455
Fax(475) 751-0455
Sole ProprietorNo
Enumeration DateAugust 29, 2005
Last NPPES UpdateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
NPI 1730172305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in TN · MD0000043396 Licensed in NC · 200500221
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

350 HOSPITAL DR, Macon, GA 31217

Other Identifiers 5

Other130I227776TN · Medicare Ptan
OtherE4403-26290NC · Medcost
Medicaid5900266NC
Other3721566TN · Group Ptan
Other046JMNC · Bcbs Nc

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. Vinita Mathur Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 13

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
605 services360 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
143 services43 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
87 services62 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
85 services64 patients
Microscopic genetic analysis of tumor, using computer-assisted technology 88361
Microscopic genetic analysis of a tumor uses advanced computer technology to examine the genetic makeup of the tumor cells. This helps to understand the tumor better and tailor a treatment plan. It's a non-invasive procedure and provides valuable insights for your healthcare team.
72 services24 patients
Cell examination of specimen, concentration technique 88108
Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.
63 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31217 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Improvement Activities40

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.

Pathology (Anatomic Pathology & Clinical Pathology)
350 HOSPITAL DR
MACON, GA 31217
Dietitian, Registered
350 HOSPITAL DR
MACON, GA 31217
Pediatrics (Neonatal-Perinatal Medicine)
350 HOSPITAL DR, NICU
MACON, GA 31217
Pediatrics (Neonatal-Perinatal Medicine)
350 HOSPITAL DR, NICU
MACON, GA 31217
Emergency Medicine (Emergency Medical Services)
350 HOSPITAL DR
MACON, GA 31217
Internal Medicine (Pulmonary Disease)
350 HOSPITAL DR
MACON, GA 31217
Occupational Therapist
350 HOSPITAL DR
MACON, GA 31217
Emergency Medicine
350 HOSPITAL DR
MACON, GA 31217

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 Vinita Mathur's NPI number?

The NPI number for Vinita Mathur is 1730172305. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Where is Vinita Mathur located?

Vinita Mathur practices at 350 Hospital Dr, Macon, GA 31217. The listed phone number is (787) 654-8724.

What is Vinita Mathur's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Vinita Mathur enrolled in Medicare?

Yes. Vinita Mathur is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vinita Mathur was last updated on August 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.