MIDHUN MATHEW MD
NPI 1740767672
Hospitalist in Marlton, NJ

Active since July 24, 2018PECOS EnrolledAccepts Medicare Assignment
86.75/100
CMS Quality Rating
90 BRICK RD FL 3, MARLTON, NJ 08053(856) 355-6000 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2022, Jul 11, 2022, Jul 24, 2018 (3 updates tracked since 2018).

About Midhun Mathew Md NPPES

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

MIDHUN MATHEW MD (NPI 1740767672) is an individual hospitalist provider in Marlton, New Jersey, licensed in New Jersey (25MA11114700) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1740767672
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMIDHUN MATHEWCredential: MD
Location Address90 BRICK RD FL 3Marlton, NJ 08053-2177
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 24, 2018
Last NPPES UpdateJanuary 25, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2024
NPI 1740767672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NJ · 25MA11114700
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA11114700 (NJ), MD478212 (PA)
90 BRICK RD FL 3, Marlton, NJ 08053

Secondary Practice Locations 5

Location 1800 Spruce Street, Pine 1 WestPhiladelphia, PA 19107-6130 · Phone (215) 829-7817 · Fax (215) 829-7129
Location 2218 Sunset Rd Fl 5Willingboro, NJ 08046-1110 · Phone (609) 444-0599
Location 3175 Madison AveMount Holly, NJ 08060-2038 · Phone (609) 914-6180
Location 4100 Bowman Dr Lowr Level1Voorhees, NJ 08043-9612 · Phone (856) 247-3000
Location 51600 Haddon Ave Fl 6Camden, NJ 08103-3101 · Phone (856) 757-3500

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

Midhun Mathew 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 ID6305248089
PECOS Enrollment IDI20210719000666
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
789 services339 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
304 services287 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
151 services148 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

86.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.91
Promoting Interoperability100
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.

Hospitalist
90 BRICK RD FL 3
MARLTON, NJ 08053
Physician Assistant
90 BRICK RD FL 3
MARLTON, NJ 08053
Hospitalist
90 BRICK RD FL 3
MARLTON, NJ 08053
Nurse Practitioner (Gerontology)
90 BRICK RD FL 3
MARLTON, NJ 08053
Hospitalist
90 BRICK RD FL 3
MARLTON, NJ 08053
Hospitalist
90 BRICK RD FL 3
MARLTON, NJ 08053
Hospitalist
90 BRICK RD FL 3
MARLTON, NJ 08053
Hospitalist
90 BRICK RD FL 3
MARLTON, NJ 08053

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 Midhun Mathew's NPI number?

The NPI number for Midhun Mathew is 1740767672. It was assigned to this individual provider in the NPPES registry on July 24, 2018.

Where is Midhun Mathew located?

Midhun Mathew practices at 90 Brick Rd Fl 3, Marlton, NJ 08053. The listed phone number is (856) 355-6000.

What is Midhun Mathew's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Midhun Mathew enrolled in Medicare?

Yes. Midhun Mathew 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.

What insurance does Midhun Mathew accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Midhun Mathew 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.

Is Midhun Mathew affiliated with any hospitals?

According to CMS data, Midhun Mathew is affiliated with Cooper University Hospital, West Jersey Hospital, Virtua Our Lady Of Lourdes Hospital and Virtua Mount Holly Hospital.

When was this NPI record last updated?

The NPPES record for Midhun Mathew was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.