Prakash Mathew, MD, MBA
NPI 1356698013 · Plastic Surgery Physician · Phildelphia, PA
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prakash Mathew, MD, MBA is a Plastic Surgery Physician provider in Phildelphia, PA (NPI 1356698013).
Provider details
- NPI number
- 1356698013
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MBA
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA11102600 (NJ)
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
13 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
40 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 26 | $93 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 14 | $247 |
Typical Medicare-allowed amounts for these services range $93–$247 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,132 across 11 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)
- 1001 Route 73 N Uppr LevelbMarlton, NJ 08053-4524Phone: (856) 355-7137Fax: (856) 355-7138
Registry dates
- Enumerated
- 2012-08-12
- Last updated
- 2024-11-04
- Certified
- 2024-11-04
Frequently asked questions
- What is Prakash Mathew's NPI number?
- Prakash Mathew's National Provider Identifier (NPI) is 1356698013, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prakash Mathew's specialty?
- Prakash Mathew is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Prakash Mathew located?
- Prakash Mathew's practice location on file with NPPES is 3400 Spruce St, Phildelphia, PA 19104-4206.
- What is Prakash Mathew's phone number?
- The practice phone number listed in the NPPES registry for Prakash Mathew is (215) 662-2096.
- Does Prakash Mathew accept Medicare?
- Prakash Mathew is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prakash Mathew's NPI active?
- Yes — Prakash Mathew's NPI (1356698013) is active in the NPPES registry as of the last update on 2024-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.