Abhay Mathur, MD
Sports Medicine (Orthopaedic Surgery) Physician · Warwick, RI
Abhay Mathur, MD is a sports medicine (orthopaedic surgery) physician with a practice address in Warwick, Rhode Island, and NPI 1649732702, issued on Apr 5, 2019. Check the license (Rhode Island MD20562, as entered in NPPES) on the Rhode Island Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.
- Name
- Abhay Mathur
- Credential
- MD
- Primary taxonomy
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- License number
- MD20562 RI
Self-reported in NPPES; status is on the state search - Practice location
- 455 Toll Gate RD, Warwick, RI 02886
- Phone
- (401) 729-2800
- Enumerated
- Apr 5, 2019
- Record last updated
- Apr 15, 2025
- Fax
- (401) 729-2877
- Medicare enrollment
- Enrolled (PECOS I20250723002684); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest sports medicine (orthopaedic surgery) physician records → All 19 in Rhode Island → Look up another NPI →
Also registered at 455 Toll Gate RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Matthew AlamEmergency Medicine Physician1609718170
- Mareena Aldayani, DOStudent in an Organized Health Care Education/Training Program1740977610
- Khalid Alhourani, MDPulmonary Disease Physician1831232636
Verify Abhay Mathur in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersRhode Island Board of Medical Licensure and Discipline
Search for license MD20562Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
96% fewer Medicare Part D claims than the average sports medicine (orthopaedic surgery) physician in 2024
12 Medicare Part D claims for 11 beneficiaries, against an average of 288 among the 2,562 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $223.69
2 payments; by number, the most common kind was food and beverage; the largest payer was Baxter Healthcare. The 2,400 providers of this specialty with any payment received $19,779.31 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Affinity Physicians LLC.Warwick, RI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Abhay Mathur among 19 sports medicine (orthopaedic surgery) physician records in Rhode Island
Abhay Mathur, MD is one of 19 sports medicine (orthopaedic surgery) physician records with a practice address in Rhode Island. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 95% of them.
- NPI issued2019 · 95% of these records are older, 0% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 79% of these records are
- Graduated2019 · median 1995 among the 15 with a school on file
- Record last updated2025 · 84% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XX0005X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Sports Medicine (Orthopaedic Surgery) Physician providers in Rhode Island
There are 19 sports medicine (orthopaedic surgery) physician records in Rhode Island.
All 19 in Rhode Island → Every provider in Warwick → Sports Medicine (Orthopaedic Surgery) Physician nationwide →
The 8 sports medicine (orthopaedic surgery) physician records with the nearest ZIP codes
- Nathan Howlett, D.O.Warwick, RI 028861225444607
- Franklin Mirrer, M.D.Warwick, RI 028861922007095
- Vincent Yakavonis, M.D.Warwick, RI 028861679572838
- Eric Launer, M.D.Woonsocket, RI 028951457347395
- Paul Fadale, M.D.Providence, RI 029051275580714
- Andrew Green, M.D.Providence, RI 029051932149887
- Michael Hulstyn, M.D.Providence, RI 029051508814062
- Robert Shalvoy, M.D.Providence, RI 029061154368926
Common questions
What is Abhay Mathur, MD's NPI number?
Abhay Mathur, MD's National Provider Identifier (NPI) is 1649732702, issued on Apr 5, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Abhay Mathur, MD located?
The NPPES record lists a practice address at 455 Toll Gate RD, Warwick, RI, 02886. Phone: (401) 729-2800. Providers update this record themselves, so call before visiting.
How can I verify Abhay Mathur, MD's license?
NPPES lists Rhode Island license number MD20562, as entered by the provider. Search the Rhode Island Board of Medical Licensure and Discipline at https://healthri.mylicense.com/Verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Abhay Mathur, MD prescribe under Medicare Part D?
In 2024, Abhay Mathur, MD had 12 Medicare Part D claims for 11 beneficiaries; the average among sports medicine (orthopaedic surgery) physician prescribers was 288. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.