Prateek Mathur, MD
Gastroenterology Physician · Louisville, KY
Prateek Mathur, MD is a gastroenterology physician with a practice address in Louisville, Kentucky, and NPI 1538510201, issued on Jun 23, 2016. Check the license (Kentucky 54341, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Prateek Mathur
- Credential
- MD
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License numbers
- 54341 KY
TP537 KY
300114 NY
Self-reported in NPPES; status is on the state search - Practice location
- 225 Abraham Flexner Way Ste 502, Louisville, KY 40202
- Phone
- (502) 588-7690
- Enumerated
- Jun 23, 2016
- Record last updated
- Mar 9, 2026
- Medicaid IDs
- 300044668 IN
7100696050 KY - Medicare enrollment
- Enrolled (PECOS I20201113002413); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 226 in Kentucky → Look up another NPI →
Also registered at 225 Abraham Flexner Way Ste 502
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Carmelita Moppins, APRN, FNP-CFamily Nurse Practitioner1407362015
Verify Prateek Mathur in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 54341Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
98% fewer Medicare Part D claims than the average gastroenterology physician in 2024
14 Medicare Part D claims, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D.
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.
The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $445.89
6 payments; by number, the most common kind was food and beverage; the largest payer was Enterra Medical, Inc. The 13,350 providers of this specialty with any payment received $5,015.95 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
- University OF Louisville Physicians IncLouisville, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Prateek Mathur among 226 gastroenterology physician records in Kentucky
Prateek Mathur, MD is one of 226 gastroenterology physician records with a practice address in Kentucky. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 85% of them.
- NPI issued2016 · 85% of these records are older, 12% newer
- In a Medicare fileYes · 89% of these records are
- In the CMS Doctors and Clinicians fileYes · 80% of these records are
- Graduated2016 · median 2000 among the 181 with a school on file
- Record last updated2026 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gastroenterology Physician providers in Kentucky
There are 226 gastroenterology physician records in Kentucky.
All 226 in Kentucky → Every provider in Louisville → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- Thomas Abell, MDLouisville, KY 402021174567382
- Ashutosh Barve, M.D., PH.D.Louisville, KY 402021194867747
- Matthew Cave, M.D.Louisville, KY 402021629117312
- Gerald Dryden, MDLouisville, KY 402021619969011
- Raja Kaikaus, MDLouisville, KY 402021427154913
- Kristine Krueger, MDLouisville, KY 402021891788824
- Sarah Landes, MDLouisville, KY 402021427290691
- Luis Marsano, MDLouisville, KY 402021700879731
Common questions
What is Prateek Mathur, MD's NPI number?
Prateek Mathur, MD's National Provider Identifier (NPI) is 1538510201, issued on Jun 23, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Prateek Mathur, MD located?
The NPPES record lists a practice address at 225 Abraham Flexner Way Ste 502, Louisville, KY, 40202. Phone: (502) 588-7690. Providers update this record themselves, so call before visiting.
How can I verify Prateek Mathur, MD's license?
NPPES lists Kentucky license number 54341, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Prateek Mathur, MD prescribe under Medicare Part D?
In 2024, Prateek Mathur, MD had 14 Medicare Part D claims; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Prateek Mathur, MD's MIPS final score?
The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
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.