PREETHY SARA MATHEW AG-ACNP
NPI 1831672088
Nurse Practitioner - Acute Care in Plano, TX

Q: What is Preethy Mathew's NPI number?

The NPI number for Preethy Mathew is 1831672088. It was assigned to this individual provider in the NPPES registry on September 13, 2018.

Q: What is Preethy Mathew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Preethy Mathew was last updated on February 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 13, 2018PECOS EnrolledAccepts Medicare Assignment

92.48/100

CMS Quality Rating

6124 W PARKER RD STE 536, PLANO, TX 75093(972) 378-9560(844) 290-4363 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2023, Apr 12, 2023, Sep 13, 2018 (3 updates tracked since 2018).

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About Preethy Sara Mathew Ag-acnp NPPES

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

PREETHY SARA MATHEW AG-ACNP (NPI 1831672088) is an individual acute care provider in Plano, Texas, licensed in Texas (AP138397) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1831672088

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NamePREETHY SARA MATHEWCredential: AG-ACNP

Location Address6124 W PARKER RD STE 536Plano, TX 75093-8137

Mailing Address6124 W Parker Rd Ste 536Plano, TX 75093-8137 · (972) 378-9560 · Fax (844) 290-4363

Phone(972) 378-9560

Fax(844) 290-4363

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 13, 2018

Last NPPES UpdateFebruary 15, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2024

✔ NPI 1831672088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · AP138397

6124 W PARKER RD STE 536, Plano, TX 75093

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Preethy Sara Mathew Ag-acnp 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 ID6305199738

PECOS Enrollment IDI20181031002610

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.

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.

235 services209 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

124 services114 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

72 services69 patients

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.

24 services16 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450771

Location6200 W Parker RdPlano, TX 75093 · Collin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

92.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

88.93

Promoting Interoperability

100

Improvement Activities

Cost

Reported Quality Measures

Advance Care Plan

42%370 patients2/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

3%130 patients1/55-star benchmark: 87%

Controlling High Blood Pressure

72%344 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Antiplatelet Therapy

85%150 patients4/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

97%111 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%792 patients5/55-star benchmark: 100%

e-Prescribing

97%981 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

1%316 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

26%687 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

30%296 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 62% · 628 patients

Patients screened: 64% · 628 patients

25%20 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

95%162 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

90%315 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 336 patients

Patients totalRate: 0% · 336 patients

0%336 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 8

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

ELAINE I. KIM MSN-FNP

Nurse Practitioner (Family)