Mamatha Agrawal, M.D.
NPI 1205864659 · Family Medicine Physician · Raleigh, NC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mamatha Agrawal, M.D. is a Family Medicine Physician provider in Raleigh, NC (NPI 1205864659).
Provider details
- NPI number
- 1205864659
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 200000169 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
260 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 122 | $120 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 34 | $85 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 30 | $9 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 29 | $15 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 22 | $121 |
| Administration of Influenza Virus Vaccine |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 111 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 250 | 71 |
| Amlodipine Besylate | 216 | 68 |
| Gabapentin | 120 | 34 |
| Levothyroxine Sodium | 115 | 36 |
| Potassium Chloride | 104 | 28 |
| Hydrochlorothiazide | 92 | 30 |
| Losartan Potassium | 92 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$263 across 15 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 431 Keisler Dr Ste 100Cary, NC 27518-7064Phone: (919) 468-6820Fax: (919) 468-6484
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2021-05-04
- Certified
- 2021-05-04
Frequently asked questions
- What is Mamatha Agrawal's NPI number?
- Mamatha Agrawal's National Provider Identifier (NPI) is 1205864659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mamatha Agrawal's specialty?
- Mamatha Agrawal is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mamatha Agrawal located?
- Mamatha Agrawal's practice location on file with NPPES is 4551 New Bern Ave # A100, Raleigh, NC 27610-1551.
- What is Mamatha Agrawal's phone number?
- The practice phone number listed in the NPPES registry for Mamatha Agrawal is (984) 215-4960.
- Does Mamatha Agrawal accept Medicare?
- Mamatha Agrawal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mamatha Agrawal's NPI active?
- Yes — Mamatha Agrawal's NPI (1205864659) is active in the NPPES registry as of the last update on 2021-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.