Justin Mathew, MD
NPI 1356736862 · Endocrinology, Diabetes & Metabolism Physician · Bronx, NY
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Mathew, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Bronx, NY (NPI 1356736862).
Provider details
- NPI number
- 1356736862
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 311137 (NY)
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
11 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
191 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 | 55 | $114 |
| 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 | 45 | $19 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 38 | $93 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 21 | $155 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 20 | $40 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 34 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Semaglutidebrand: Ozempic | 195 | 50 |
| Levothyroxine Sodium | 153 | 53 |
| Dulaglutidebrand: Trulicity | 125 | 25 |
| Alendronate Sodium | 72 | 22 |
| Insulin Glargine,hum.rec.anlogbrand: Basaglar Kwikpen U-100 | 67 | 18 |
| Methimazole | 65 | 25 |
| Empagliflozin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$409 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
Registry dates
- Enumerated
- 2015-04-01
- Last updated
- 2021-08-10
- Certified
- 2021-08-10
Frequently asked questions
- What is Justin Mathew's NPI number?
- Justin Mathew's National Provider Identifier (NPI) is 1356736862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Mathew's specialty?
- Justin Mathew is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Justin Mathew located?
- Justin Mathew's practice location on file with NPPES is 3400 Bainbridge Ave Fl 2, Bronx, NY 10467-2404.
- What is Justin Mathew's phone number?
- The practice phone number listed in the NPPES registry for Justin Mathew is (866) 633-8255.
- Does Justin Mathew accept Medicare?
- Justin Mathew is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Mathew's NPI active?
- Yes — Justin Mathew's NPI (1356736862) is active in the NPPES registry as of the last update on 2021-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.