Stephen Mathai, MD MHS
NPI 1235242314 · Pulmonary Disease Physician · Baltimore, MD
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen Mathai, MD MHS is a Pulmonary Disease Physician provider in Baltimore, MD (NPI 1235242314).
Provider details
- NPI number
- 1235242314
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD MHS
- Sex
- Male
- Sole proprietor
- No
- License
- D0060811 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
573 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 172 | $79 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 145 | $120 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 118 | $147 |
| 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 | 69 | $17 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 38 | $176 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ambrisentan | 98 | 12 |
| Riociguatbrand: Adempas | 60 | — |
| Sildenafil Citrate | 40 | — |
| Furosemide | 33 | 16 |
| Macitentanbrand: Opsumit | 29 | — |
| Tadalafil | 26 | — |
| Spironolactone | 23 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$38,189 across 24 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
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2013-02-12
Frequently asked questions
- What is Stephen Mathai's NPI number?
- Stephen Mathai's National Provider Identifier (NPI) is 1235242314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Mathai's specialty?
- Stephen Mathai is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Stephen Mathai located?
- Stephen Mathai's practice location on file with NPPES is 4940 Eastern Ave, Baltimore, MD 21224-2735.
- What is Stephen Mathai's phone number?
- The practice phone number listed in the NPPES registry for Stephen Mathai is (410) 550-5864.
- Does Stephen Mathai accept Medicare?
- Stephen Mathai is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephen Mathai's NPI active?
- Yes — Stephen Mathai's NPI (1235242314) is active in the NPPES registry as of the last update on 2013-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.