Active NPI 1942306022 Individual Practitioner Male Practitioner

Dr. Pradeep Mathur , MD

Internal Medicine • Orange City, FL

Professional Overview & Biography Verified Profile Summary

Dr. Pradeep Mathur, MD is a registered healthcare professional specializing in Internal Medicine in Orange City, FL. Practice services are available at 999 S VOLUSIA AVE under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, established patient outpatient office visit, initial nursing facility visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

999 S Volusia Ave

Orange City, FL 327636564

Telephone 3867757001

Fax 3867742561

Associated Practice Facility / Clinic

🏢 Pradeep Mathur, M.d., P.a. Facility NPI 1588855431

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Orange City, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 29.9 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

32 Specialists

Practicing in Orange City, FL (10650 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

31.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	305	103	$89.77	$70.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	123	$162.89	$108.84
99306 Initial nursing facility visit, typically 45 minutes per day	60	58	$224.71	$170.59
99213 Established patient office or other outpatient visit, typically 15 minutes	42	34	$112.00	$75.10
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	17	$71.45	$53.59
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	14	12	$189.00	$130.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$200.00	$114.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	612	169	$102.87	$69.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	565	236	$162.81	$108.72
99213 Established patient office or other outpatient visit, typically 15 minutes	202	101	$111.88	$73.93
99306 Initial nursing facility visit, typically 45 minutes per day	150	121	$253.67	$168.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	135	135	$200.00	$116.07
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	110	19	$33.75	$22.36
G0008 Administration of influenza virus vaccine	57	57	$36.00	$16.24
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	56	56	$40.00	$17.48
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	56	12	$18.00	$1.79
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	43	41	$13.07	$8.65
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	42	41	$13.36	$8.36
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	28	$82.00	$53.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$65.00	$44.84
99495 Transitional care management services for problem of at least moderate complexity	14	11	$189.00	$163.55
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	11	11	$66.00	$44.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	528	242	$158.01	$106.73
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	518	151	$102.01	$69.25
99213 Established patient office or other outpatient visit, typically 15 minutes	190	115	$107.05	$72.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	171	171	$200.00	$115.14
99306 Initial nursing facility visit, typically 45 minutes per day	118	98	$247.00	$167.19
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	100	18	$30.00	$21.04
G0008 Administration of influenza virus vaccine	79	77	$36.00	$19.91
90756 Vaccine for influenza for injection into muscle	76	76	$40.00	$22.33
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	55	55	$14.00	$8.59
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	53	53	$18.00	$8.30
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	50	11	$18.00	$1.94
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	32	16	$63.00	$40.99
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	21	$82.00	$53.12
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	20	12	$189.00	$129.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$247.00	$164.50
69210 Removal of impacted ear wax	13	12	$79.00	$48.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$65.00	$43.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	516	263	$158.00	$103.08
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	515	145	$102.28	$66.69
99213 Established patient office or other outpatient visit, typically 15 minutes	223	122	$107.00	$69.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	172	172	$200.00	$110.52
99306 Initial nursing facility visit, typically 45 minutes per day	143	114	$247.00	$161.44
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	107	17	$30.00	$19.09
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	82	82	$14.00	$8.30
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	81	81	$18.00	$7.99
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	76	75	$40.00	$17.30
G0008 Administration of influenza virus vaccine	76	75	$36.00	$24.61
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	26	13	$132.00	$107.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$65.00	$41.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	15	$82.00	$51.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$247.00	$159.19
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	14	12	$66.00	$43.06
99495 Transitional care management services for problem of at least moderate complexity	11	11	$189.00	$155.85

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME38056

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Edwin Ortiz

Nurse Practitioner - Family

NPI 1114758901

Dr. Glenda Rosa Gonzalez , MD

Internal Medicine

NPI 1447564828

Doctor of Medicine (M.D.)

Dr. Ram Amilineni , MD

Internal Medicine

NPI 1457457541

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 999 S VOLUSIA AVE, ORANGE CITY, FL 327636564 (Tel: 3867757001)

📍

Updated Business Mailing Address July 08, 2007

Registered at 999 S VOLUSIA AVE, ORANGE CITY, FL 327636564 (Tel: 3867757001)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as PRADEEP MATHUR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #ME38056 in FL)

🟢

Initial NPI Registration & Enumeration September 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942306022

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 15, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

999 S Volusia Ave

Orange City, FL 327636564

Phone: 3867757001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.