PAUL MATHEW M.D.
NPI 1891727129
Hospitalist in El Paso, TX

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
2000 TRANSMOUNTAIN RD, EL PASO, TX 79911(915) 247-8893(915) 351-6600 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2022, Jun 30, 2020, Mar 18, 2020 and 1 more (4 updates tracked since 2016).

About Paul Mathew M.d. NPPES

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

PAUL MATHEW M.D. (NPI 1891727129) is an individual hospitalist provider in El Paso, Texas, licensed in Texas (P1568) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Las Palmas Medical Center A Campus Of Lpds Healthc, and is a graduate of Creighton University School Of Medicine (2006).

NPPES Registry Identity

NPI1891727129
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePAUL MATHEWCredential: M.D.
Location Address2000 TRANSMOUNTAIN RDEl Paso, TX 79911-3601
Mailing Address4849 N Mesa St Ste 201El Paso, TX 79912-5919 · (915) 351-6600 · Fax (915) 351-6601
Fax(915) 351-6600
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2006
Enumeration DateJuly 7, 2006
Last NPPES UpdateJanuary 19, 20224 updates tracked since enumeration
NPPES CertifiedJune 30, 2020
NPI 1891727129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TX · P1568
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 P1568 (TX), MD2011-0243 (NM), 37325 (AZ)
2000 TRANSMOUNTAIN RD, El Paso, TX 79911

Other Identifiers 3

Other8DZ192TX · Bc/bs Of Texas
OtherP01249699TX · Railroad Retirement Medicare
Medicaid2967929-01TX

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

Paul Mathew 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 ID4587719521
PECOS Enrollment IDI20120409000684
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 5

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.
199 services73 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
53 services51 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.
37 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
29 services20 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.
26 services25 patients

Hospital Affiliations CMS Care Compare

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

Las Palmas Medical Center A Campus Of Lpds Healthc

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450107
Location1801 North Oregon StreetEl Paso, TX 79902 · El Paso County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79911 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%103 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers23 claims23 services$15.14 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers112 claims112 services$62.81 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$23.66 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier86 claims86 services$28.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Hospitalist
2000 TRANSMOUNTAIN RD
EL PASO, TX 79911
Student in an Organized Health Care Education/Training Program
2000 TRANSMOUNTAIN RD
EL PASO, TX 79911
Student in an Organized Health Care Education/Training Program
2000 TRANSMOUNTAIN RD
EL PASO, TX 79911
Nurse Practitioner
2000 TRANSMOUNTAIN RD
EL PASO, TX 79911
Hospitalist
2000 TRANSMOUNTAIN RD
EL PASO, TX 79911
Hospitalist
2000 TRANSMOUNTAIN RD
EL PASO, TX 79911
Pharmacist
2000 TRANSMOUNTAIN RD
EL PASO, TX 79911
General Acute Care Hospital
2000 TRANSMOUNTAIN RD
EL PASO, TX 79911

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 Paul Mathew's NPI number?

The NPI number for Paul Mathew is 1891727129. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Paul Mathew located?

Paul Mathew practices at 2000 Transmountain Rd, El Paso, TX 79911. The listed phone number is (915) 247-8893.

What is Paul Mathew's specialty?

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

Is Paul Mathew enrolled in Medicare?

Yes. Paul 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 Paul Mathew accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company list Paul 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 Paul Mathew affiliated with any hospitals?

According to CMS data, Paul Mathew is affiliated with Las Palmas Medical Center A Campus Of Lpds Healthc.

When was this NPI record last updated?

The NPPES record for Paul Mathew was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.