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DR. MAYANK MATHUR M.D.
NPI 1750591087
Psychiatry & Neurology - Neurology in Lumberton, NJ

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
693 MAIN ST STE D, LUMBERTON, NJ 08048(609) 261-7600(609) 265-8205 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2024, Oct 19, 2020, Aug 12, 2020 (3 updates tracked since 2020).

About Dr. Mayank Mathur M.d. NPPES

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

DR. MAYANK MATHUR M.D. (NPI 1750591087) is an individual neurology provider in Lumberton, New Jersey, licensed in New Jersey (25MA08773300) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains a secondary practice location in Voorhees.

NPPES Registry Identity

NPI1750591087
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MAYANK MATHURCredential: M.D.
Location Address693 MAIN ST STE DLumberton, NJ 08048-5043
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340 · Fax (856) 355-0330
Phone(609) 261-7600
Fax(609) 265-8205
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2005
Enumeration DateMay 23, 2007
Last NPPES UpdateOctober 7, 20243 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1750591087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NJ · 25MA08773300
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
693 MAIN ST STE D, Lumberton, NJ 08048
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 Route 73 Ste 2BVoorhees, NJ 08043-9611 · Phone (856) 335-0400 · Fax (856) 355-0406

Other Identifiers 1

Medicaid0238571NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Montana and more.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

Dr. Mayank 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 ID244356327
PECOS Enrollment IDI20100927000284, I20210722001180, I20230816004316, I20241121002418, I20250107000699, I20250107001649, I20250128002351, I20250610003371, I20250621000086
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

3

Medicare enrollment records show Mayank Mathur reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virtua Medical Group, PA
2.2 mi
Urgent Care
555 HIGH ST STE 16A
Mount Holly, NJ 08060
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
NPI 1851841696 (609) 444-5610
Crestwood Healthcare LP
743 mi
General Acute Care Hospital
1 HOSPITAL DR SW
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama, Arizona, Iowa, Illinois, Kentucky, Louisiana, Minnesota, Montana, New Jersey, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Texas and Wisconsin enrollments
  • Medicare enrollment name: Access Telecare PLLC
  • Also billed through NPI 1013303080 (Wisconsin)
  • 149 clinicians in this Medicare group
NPI 1023061496 (256) 882-3100
Ap Us 14, PA
1,318 mi
Internal Medicine
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Kansas enrollment
  • 82 clinicians in this Medicare group
NPI 1902415904 (972) 449-0540

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 10

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.
430 services276 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
119 services66 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
107 services96 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
87 services87 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
64 services64 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.
40 services39 patients

Hospital Affiliations CMS Care Compare 4

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

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

Deborah Heart And Lung Center

Acute Care Hospitals · Browns Mills, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310031
Location200 Trenton RoadBrowns Mills, NJ 08015 · Burlington County

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 08048 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

ADVOCARE, LLC
Pediatrics
693 MAIN ST STE D, AMHERST COMMONS
LUMBERTON, NJ 08048
Burlington County (609) 261-8381
ETERNALLY ACP PC
Health Educator
693 MAIN ST STE D
LUMBERTON, NJ 08048
Burlington County (267) 764-4704
ADVOCARE, LLC
Psychiatry & Neurology (Neurology)
693 MAIN ST STE D, AMHERST COMMONS
LUMBERTON, NJ 08048
Burlington County (609) 261-7600
JENNIFER BUCKINGHAM APN
Nurse Practitioner
693 MAIN ST STE D
LUMBERTON, NJ 08048
Burlington County (609) 261-7600
MICHELLE NICOLE KURMAN D.O.
Pediatrics
693 MAIN ST STE D
LUMBERTON, NJ 08048
Burlington County (609) 261-4058
MS. JAMIE STRAUSE MSN, APN-C
Nurse Practitioner (Acute Care)
693 MAIN ST STE D
LUMBERTON, NJ 08048
Burlington County (609) 261-7600

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 Mayank Mathur's NPI number?

The NPI number for Mayank Mathur is 1750591087. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Mayank Mathur located?

Mayank Mathur practices at 693 Main St Ste D, Lumberton, NJ 08048. The listed phone number is (609) 261-7600.

What is Mayank Mathur's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mayank Mathur enrolled in Medicare?

Yes. Mayank 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 Mayank Mathur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mayank Mathur reassigns Medicare benefits to 3 organizations: Virtua Medical Group, PA (Mount Holly, NJ), Crestwood Healthcare LP (Huntsville, AL) and Ap Us 14, PA (Dallas, TX). 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 Mayank Mathur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mayank Mathur accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas and Oscar Health and 1 other insurer list Mayank 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.

Is Mayank Mathur affiliated with any hospitals?

According to CMS data, Mayank Mathur is affiliated with West Jersey Hospital, Virtua Our Lady Of Lourdes Hospital, Deborah Heart And Lung Center and Virtua Mount Holly Hospital.

When was this NPI record last updated?

The NPPES record for Mayank Mathur was last updated on October 7, 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.