DR. SANDIP VIJAYSHANKAR MATHUR M.D.
NPI 1972549632
Internal Medicine - Gastroenterology in Abilene, TX

Q: What is Sandip Mathur's NPI number?

The NPI number for Sandip Mathur is 1972549632. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Q: What is Sandip Mathur's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Sandip Mathur was last updated on July 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment

73.1/100

CMS Quality Rating

6300 REGIONAL PLZ, SUITE 820, ABILENE, TX 79606(325) 692-3777(325) 695-2659 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Sandip Vijayshankar Mathur M.d. NPPES

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

DR. SANDIP VIJAYSHANKAR MATHUR M.D. (NPI 1972549632) is an individual gastroenterology provider in Abilene, Texas, licensed in Texas (J7076) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hendrick Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1972549632

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. SANDIP VIJAYSHANKAR MATHURCredential: M.D.

Location Address6300 REGIONAL PLZ, SUITE 820Abilene, TX 79606-5251

Mailing AddressPo Box 5496Abilene, TX 79608-5496 · (325) 692-3777 · Fax (325) 695-2659

Phone(325) 692-3777

Fax(325) 695-2659

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateJune 21, 2006

Last NPPES UpdateJuly 23, 2008

✔ NPI 1972549632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TX · J7076

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedSpecialistTaxonomy 174400000X · License J7076 (TX)

6300 REGIONAL PLZ, Abilene, TX 79606

Open in Google Maps ↗

Other Identifiers 6

Medicare UPING09672TX

Medicaid110648604TX

Medicare PIN8C0718TX

Other8AJ206TN · Bcbs

Other118749104TX · Firstcare

OtherA002TX · Tricare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Dr. Sandip Vijayshankar 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 ID6507837861

PECOS Enrollment IDI20040804000252

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 21

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.

338 services238 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

249 services241 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

225 services219 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.

188 services81 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

109 services103 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

100 services100 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

85 services81 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.

54 services50 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

49 services49 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.

43 services41 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.

39 services39 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.

37 services37 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

30 services22 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

25 services24 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

23 services17 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

22 services18 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

21 services21 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

19 services17 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

19 services19 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

16 services15 patients

Removal of stent from pancreatic or bile duct using a flexible endoscope 43275

This procedure involves removing a stent from your pancreatic or bile duct. A flexible endoscope, a thin tube with a light and camera, is used to locate the stent. Once found, it's carefully extracted. This helps maintain proper duct function.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450229

Location1900 PineAbilene, TX 79601 · Taylor County

Emergency services Birthing friendly

Hendrick Medical Center Brownwood

Acute Care Hospitals · Brownwood, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number450587

Location1501 Burnet DrBrownwood, TX 76801 · Brown County

Emergency services Birthing friendly

North Runnels Hospital

Critical Access Hospitals · Winters, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451315

Location7821 State Highway 153Winters, TX 79567 · Runnels County

Emergency services

Coleman County Medical Center Company

Critical Access Hospitals · Coleman, TX

OwnershipProprietary

CMS Certification Number451347

Location310 South Pecos StreetColeman, TX 76834 · Coleman County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79606 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.

73.1/100

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

Scored as part of a group practice

Quality

63.26

Promoting Interoperability

100

Improvement Activities

Cost

47.09

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

52%44 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

75%504 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

63%277 patients3/55-star benchmark: 91%

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

Lower rates are better for this measure.

66%129 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

79%1,440 patients3/55-star benchmark: 100%

e-Prescribing

99%655 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

9%493 patients1/55-star benchmark: 100%

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

25%831 patients2/55-star benchmark: 98%

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

21%556 patients2/55-star benchmark: 61%

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

Patients combinedPopulations: 31% · 740 patients

Patients screened: 34% · 740 patients

21%28 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

87%259 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

81%309 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 490 patients

Patients totalRate: 13% · 505 patients

14%505 patients3/55-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.

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.

MRS. DEBBIE WASSON P.A.-C

Physician Assistant (Medical)

6300 REGIONAL PLZ, SUITE 820
ABILENE, TX 79606

Taylor County (325) 692-3777

ABILENE SPEECH & HEARING CENTER

Speech-Language Pathologist

6300 REGIONAL PLZ, SUITE 850
ABILENE, TX 79606

Taylor County (325) 698-9048

KIMBERLY ANN COOPER FNP

Nurse Practitioner (Family)

6300 REGIONAL PLZ, SUITE 650
ABILENE, TX 79606

Taylor County (325) 695-5800

HOWARD A. TOBIN MD, PA

Clinic/Center (Ambulatory Surgical)

6300 REGIONAL PLZ, SUITE 475
ABILENE, TX 79606

Taylor County (325) 695-3630

ALLISON GEE PADON M.D.

Pediatrics

6300 REGIONAL PLZ, SUITE 650
ABILENE, TX 79606

Taylor County (325) 692-5800

SANDIP MATHUR, M.D., P.A.

Internal Medicine (Gastroenterology)

6300 REGIONAL PLZ, SUITE 820
ABILENE, TX 79606

Taylor County (325) 692-3777

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 Sandip Mathur's NPI number?

The NPI number for Sandip Mathur is 1972549632. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Sandip Mathur located?

Sandip Mathur practices at 6300 Regional Plz Suite 820, Abilene, TX 79606. The listed phone number is (325) 692-3777.

What is Sandip Mathur's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sandip Mathur enrolled in Medicare?

Yes. Sandip 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.

What insurance does Sandip Mathur accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Sandip 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 Sandip Mathur affiliated with any hospitals?

According to CMS data, Sandip Mathur is affiliated with Hendrick Medical Center, Hendrick Medical Center Brownwood, North Runnels Hospital and Coleman County Medical Center Company.

When was this NPI record last updated?

The NPPES record for Sandip Mathur was last updated on July 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.