Sumeet Mathur, MD
NPI 1609864115 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Johnstown, PA
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumeet Mathur, MD is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider in Johnstown, PA (NPI 1609864115).
Provider details
- NPI number
- 1609864115
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- MD064804L (PA)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense MD064804L (PA)
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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
3,756 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) |
|---|---|---|
| Professional Service for Preparation and Provision of 1 Or More Antigens95165 | 2,550 | $13 |
| Test for Allergy Using Allergenic Extract95004 | 576 | $3 |
| Test for Allergy Using Allergenic Extract Injected Into Skin95024 | 253 | $7 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 132 | $118 |
| Professional Service for Multiple Injections of Allergen95117 | 106 | $11 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 58 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methylprednisolone | 52 | 52 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 51 | 51 |
| Cephalexin | 48 | 48 |
| Diazepam | 41 | 41 |
| Ipratropium Bromide | 13 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,708 across 10 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
- 2005-10-10
- Last updated
- 2007-07-08
Frequently asked questions
- What is Sumeet Mathur's NPI number?
- Sumeet Mathur's National Provider Identifier (NPI) is 1609864115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumeet Mathur's specialty?
- Sumeet Mathur is listed in the NPPES registry with a primary specialty of Plastic Surgery within the Head & Neck (Otolaryngology) Physician (Allopathic & Osteopathic Physicians).
- Where is Sumeet Mathur located?
- Sumeet Mathur's practice location on file with NPPES is 1450 Scalp Ave, Johnstown, PA 15904-3374.
- What is Sumeet Mathur's phone number?
- The practice phone number listed in the NPPES registry for Sumeet Mathur is (814) 266-1185.
- Does Sumeet Mathur accept Medicare?
- Sumeet Mathur is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumeet Mathur's NPI active?
- Yes — Sumeet Mathur's NPI (1609864115) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.