Sukumar Mathan, M.D.
NPI 1386798452 · Internal Medicine Physician · Haines City, FL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sukumar Mathan, M.D. is a Internal Medicine Physician provider in Haines City, FL (NPI 1386798452).
Provider details
- NPI number
- 1386798452
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME80845 (FL)
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
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
58 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 | 38 | $124 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 20 | $89 |
Typical Medicare-allowed amounts for these services range $89–$124 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 107 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 292 | 115 |
| Atorvastatin Calcium | 252 | 106 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 236 | 59 |
| Losartan Potassium | 210 | 75 |
| Omeprazole | 200 | 75 |
| Gabapentin | 200 | 63 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$17 across 1 record (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 (2)
- 1143 State Road 60 ELake Wales, FL 33853-4320Phone: (863) 679-8815Fax: (863) 679-8335
- 6800 Cypress Gardens BlvdWinter Haven, FL 33884-3523Phone: (863) 268-7380Fax: (863) 808-1832
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2021-09-01
- Certified
- 2021-09-01
Frequently asked questions
- What is Sukumar Mathan's NPI number?
- Sukumar Mathan's National Provider Identifier (NPI) is 1386798452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sukumar Mathan's specialty?
- Sukumar Mathan is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sukumar Mathan located?
- Sukumar Mathan's practice location on file with NPPES is 35600 US Hwy 27 North, Haines City, FL 33844-3731.
- What is Sukumar Mathan's phone number?
- The practice phone number listed in the NPPES registry for Sukumar Mathan is (863) 866-9820.
- Does Sukumar Mathan accept Medicare?
- Sukumar Mathan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sukumar Mathan's NPI active?
- Yes — Sukumar Mathan's NPI (1386798452) is active in the NPPES registry as of the last update on 2021-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.