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Active NPI 1356698013 Individual Practitioner Male Practitioner

Dr. Prakash Joel Mathew , MD, MBA

Plastic Surgery • Phildelphia, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prakash Mathew, MD, MBA is a certified Plastic Surgery practicing in Phildelphia, PA. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Mathew delivers high-quality medical care to the local community at 3400 SPRUCE ST.

Dr. Mathew is affiliated with Virtua Medical Group, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3400 Spruce St

Phildelphia, PA 191044206

Telephone 2156622096
Fax 2153495895

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Phildelphia, PA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs Matches City Avg
City Avg: 13.0 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Phildelphia, PA (239 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mathew (13 Years) 13 Yrs
Phildelphia Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
26 22 $210.77 $92.63
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
14 14 $530.86 $247.07

Medical Specialties & State Licenses

CMS Verified: 2024-11-04
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License PA MD473789

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License NJ 25MA11102600

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0856983 (NJ)

Hospital & Practice Group Affiliations

Virtua Medical Group, Pa

1001 Route 73 N, Marlton, NJ 080534524

Phone: 8563557137

Secondary Practice Locations

1001 Route 73 N Uppr Levelb

Marlton, NJ 080534524

Phone: 8563557137

Practice Associates & Co-Workers

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

13 Associated Practitioners
Stephanie Libes , CRNP

Nurse Practitioner - Family

NPI 1023661352

Certified Registered Nurse Practitioner

Laura Barwin

Physician Assistant - Medical

NPI 1043626203
Bethany Welch , PA-C

Physician Assistant - Surgical

NPI 1063767705

Physician Assistant (Certified)

NPI 1255463683

Doctor of Medicine (M.D.)

Dr. John Fischer , MD

Plastic Surgery

NPI 1285869784

Doctor of Medicine (M.D.)

NPI 1306942479

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location August 15, 2022

Registered at 3400 SPRUCE ST, PHILDELPHIA, PA 191044206 (Tel: 2156622096)

📍
Updated Business Mailing Address August 15, 2022

Registered at 3400 SPRUCE ST, PHILDELPHIA, PA 191044206 (Tel: 2156622096)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2022

Plastic Surgery (License #25MA11102600 in NJ)

📍
Updated Business Mailing Address July 31, 2018

Registered at 1120 NW 14TH STREET, DIVISION OF PLASTIC SURGERY - SUITE 410D, MIAMI, FL 33136 (Tel: 3052434500)

👤
Provider Name / Credentials Updated July 31, 2018

Recorded as PRAKASH MATHEW, MD, MBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2018

Surgery (License #137008 in FL)

NPI Profile Active October 13, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2013

Registered at 1501 N CAMPBELL AVE, ROOM 4334, TUCSON, AZ 857245058 (Tel: 5206267747)

📍
Updated Business Mailing Address October 13, 2013

Registered at 1501 N CAMPBELL AVE, ROOM 4334, TUCSON, AZ 857245058 (Tel: 5206267747)

👤
Provider Name / Credentials Updated October 13, 2013

Recorded as PRAKASH MATHEW, M.D., MBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2013

Surgery (License #R73903 in AZ)

🟢
Initial NPI Registration & Enumeration August 12, 2012

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: 1356698013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2012
Last Update: November 04, 2024
Sole Proprietor: No

Mailing Address

3400 Spruce St

Phildelphia, PA 191044206

Phone: 2156622096

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.