MANOJ MATHUR MD
NPI 1992730568
Internal Medicine in Huntingtown, MD

Q: What is Manoj Mathur's NPI number?

The NPI number for Manoj Mathur is 1992730568. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Manoj Mathur's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Manoj Mathur was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment

93.05/100

CMS Quality Rating

3995 OLD TOWN RD, SUITE 202, HUNTINGTOWN, MD 20639(410) 535-1451(410) 535-9620 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2025, Dec 27, 2024 (2 updates tracked since 2024).

On this page

About Manoj Mathur Md NPPES

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

MANOJ MATHUR MD (NPI 1992730568) is an individual internal medicine provider in Huntingtown, Maryland, licensed in Maryland (D0061947) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Calverthealth Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1992730568

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMANOJ MATHURCredential: MD

Location Address3995 OLD TOWN RD, SUITE 202Huntingtown, MD 20639-3041

Mailing AddressCalvert Internal Medicine Group, Pa, 985 Prince Frederick Blvd, Ste 201Prince Frederick, MD 20678-3042 · (410) 535-2005 · Fax (443) 432-3683

Phone(410) 535-1451

Fax(410) 535-9620

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 12, 2006

Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration

NPPES CertifiedNovember 12, 2025

✔ NPI 1992730568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MD · D0061947

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3995 OLD TOWN RD, Huntingtown, MD 20639

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Other Identifiers 1

Medicaid406057100MD

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

Manoj Mathur Md 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 ID840255014

PECOS Enrollment IDI20041130000217, I20061013000215

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 15

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 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.

700 services246 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

464 services78 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

155 services155 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

148 services148 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

144 services144 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.

138 services110 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

121 services120 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

99 services99 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

70 services64 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.

30 services30 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

29 services24 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

24 services24 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

24 services24 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

17 services15 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Calverthealth Medical Center

Acute Care Hospitals · Prince Frederick, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number210039

Location100 Hospital RoadPrince Frederick, MD 20678 · Calvert County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20639 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

$133.05 typical visit price

range $57.99 – $175.57

Typical copayment $33.26 (range $14.49 – $43.89)

Most-billed visit code 99204

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

93.05/100

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

Scored through an Alternative Payment Model

Quality

86.11

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

79%391 patients4/55-star benchmark: 100%

Breast Cancer Screening

57%203 patients3/55-star benchmark: 93%

Colorectal Cancer Screening

18%523 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

88%467 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

0%233 patients1/55-star benchmark: 100%

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

Lower rates are better for this measure.

39%233 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%2,707 patients5/55-star benchmark: 100%

HIV Screening

4%495 patients1/55-star benchmark: 60%

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

66%832 patients3/55-star benchmark: 98%

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

50%773 patients4/55-star benchmark: 61%

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

Patients combinedPopulations: 88% · 673 patients

Patients screened: 89% · 673 patients

89%56 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

87%437 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 396 patients

Patients totalRate: 5% · 396 patients

5%396 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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

13 suppliers37 claims74 services$6.69 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers12 claims12 services$1.06 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 6

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

DR. THIBIN D SANTHA M.D.

Internal Medicine (Nephrology)

3995 OLD TOWN RD, STE 203
HUNTINGTOWN, MD 20639

Calvert County (410) 535-1005

DR. VARKEY MATHEW MD

Internal Medicine (Cardiovascular Disease)

3995 OLD TOWN RD, SUITE 101
HUNTINGTOWN, MD 20639

Calvert County (410) 535-3612

DR. MUKESH N MATHUR M.D.

Internal Medicine

3995 OLD TOWN RD, SUITE 202
HUNTINGTOWN, MD 20639

Calvert County (410) 535-1451

JOAN MALDONADO-RESTO CRNP

Nurse Practitioner (Family)

3995 OLD TOWN RD
HUNTINGTOWN, MD 20639

Calvert County (410) 536-3612

DR. AMIR ZAHIR M.D.

Dermatology

3995 OLD TOWN RD, STE 201
HUNTINGTOWN, MD 20639

Calvert County (410) 535-0666

MS. VASUNDHARA MUTHU M.D.

Internal Medicine (Cardiovascular Disease)

3995 OLD TOWN RD, SUITE 101
HUNTINGTOWN, MD 20639

Calvert County (410) 535-3612

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 Manoj Mathur's NPI number?

The NPI number for Manoj Mathur is 1992730568. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Manoj Mathur located?

Manoj Mathur practices at 3995 Old Town Rd Suite 202, Huntingtown, MD 20639. The listed phone number is (410) 535-1451.

What is Manoj Mathur's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Manoj Mathur enrolled in Medicare?

Yes. Manoj 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.

Is Manoj Mathur affiliated with any hospitals?

According to CMS data, Manoj Mathur is affiliated with Calverthealth Medical Center.

When was this NPI record last updated?

The NPPES record for Manoj Mathur was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.