SOFIA ROWTHER MATHEW PA-C
NPI 1841599503
Physician Assistant in Dallas, TX

Active since March 21, 2011PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390(214) 648-6400(214) 645-5461 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sofia Rowther Mathew Pa-c NPPES

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

SOFIA ROWTHER MATHEW PA-C (NPI 1841599503) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA07178) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of University Of Texas Medical Branch At Galveston (2010).

NPPES Registry Identity

NPI1841599503
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSOFIA ROWTHER MATHEWCredential: PA-C
Location Address5323 HARRY HINES BLVD STOP 7200Dallas, TX 75390-7201
Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (469) 291-3369 · Fax (214) 645-0078
Fax(214) 645-5461
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2010
Enumeration DateMarch 21, 2011
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
NPI 1841599503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA07178
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5323 HARRY HINES BLVD STOP 7200, Dallas, TX 75390

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

Sofia Rowther Mathew Pa-c 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 ID4688852791
PECOS Enrollment IDI20110620000517
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 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.
207 services153 patients
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.
196 services172 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.
86 services74 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.
40 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Anesthesiology
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390

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 Sofia Mathew's NPI number?

The NPI number for Sofia Mathew is 1841599503. It was assigned to this individual provider in the NPPES registry on March 21, 2011.

Where is Sofia Mathew located?

Sofia Mathew practices at 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390. The listed phone number is (214) 648-6400.

What is Sofia Mathew's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sofia Mathew enrolled in Medicare?

Yes. Sofia 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 Sofia Mathew accept?

Health plans from Blue Cross and Blue Shield of Texas list Sofia 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 Sofia Mathew affiliated with any hospitals?

According to CMS data, Sofia Mathew is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Sofia Mathew was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.