Toby Mathew, MD
NPI 1669859369 · Hospitalist Physician · Dallas, TX
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Toby Mathew, MD is a Hospitalist Physician provider in Dallas, TX (NPI 1669859369).
Provider details
- NPI number
- 1669859369
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- R4871 (TX)
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
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
461 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 50 Minutes99233 | 222 | $115 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 164 | $76 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 55 | $105 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 20 | $168 |
Typical Medicare-allowed amounts for these services range $76–$168 (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.
$1,458 across 60 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)
- 301 University BlvdGalveston, TX 77555-0570Phone: (409) 772-7063Fax: (409) 747-8579
Registry dates
- Enumerated
- 2015-05-01
- Last updated
- 2024-09-09
- Certified
- 2024-09-09
Frequently asked questions
- What is Toby Mathew's NPI number?
- Toby Mathew's National Provider Identifier (NPI) is 1669859369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Toby Mathew's specialty?
- Toby Mathew is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Toby Mathew located?
- Toby Mathew's practice location on file with NPPES is 3600 Gaston Ave Ste 550, Dallas, TX 75246-1905.
- What is Toby Mathew's phone number?
- The practice phone number listed in the NPPES registry for Toby Mathew is (214) 821-1177.
- Does Toby Mathew accept Medicare?
- Toby Mathew is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Toby Mathew's NPI active?
- Yes — Toby Mathew's NPI (1669859369) is active in the NPPES registry as of the last update on 2024-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.