NPPES file of Aug 9, 2026

Prem Mathai, MD

Neurology Physician · Newark, OH

Prem Mathai, MD is a neurology physician with a practice address in Newark, Ohio, and NPI 1518192780, issued on May 18, 2009. Check the license (Ohio 35.125013, as entered in NPPES) on the State Medical Board of Ohio; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1518192780
Name
Prem Mathai
Credential
MD
Primary taxonomy
Neurology Physician 2084N0400X
License number
35.125013 OH
Self-reported in NPPES; status is on the state search
Practice location
150 Mcmillen Dr, Newark, OH 43055
Phone
(220) 564-7985
Enumerated
May 18, 2009
Record last updated
Sep 16, 2025
Fax
(220) 564-7986
Medicaid ID
0112828 OH
Medicare enrollment
Enrolled (PECOS I20150605000795); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 150 Mcmillen Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Noman Ahmed, MDNeurology Physician1144464769
  2. Gloria Galloway, MDNeurology Physician1265433635
  3. Garland Tang, M.D.Neurology Physician1518317973
  4. Katrina Verde, MDFamily Medicine Physician1548268543
  5. Pattye Whisman, MDFamily Medicine Physician1114925070

Verify Prem Mathai in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersState Medical Board of Ohio
    Search for license 35.125013
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Ohio license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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65% more Medicare Part D claims than the average neurology physician in 2024

2,262 Medicare Part D claims for 342 beneficiaries, against an average of 1,370 among the 15,005 providers of this specialty who prescribed in Part D. Brand-name drugs were 7% of claims.

  1. Prem Mathai2,262
  2. Specialty average1,370

Most prescribed

  1. Gabapentin255 claims
  2. Primidone224 claims
  3. Levetiracetam201 claims
  4. Carbidopa-Levodopa198 claims
  5. Donepezil Hcl170 claims
  6. Topiramate128 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.

The practice group's MIPS final score for 2023 (Medicare payment program): 76.8 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.

  1. Qualityout of 100 · 30% of the final score64.7
  2. Costout of 100 · 30%58.0
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $397.04

39 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 10,858 providers of this specialty with any payment received $8,318.07 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Prem Mathai$397.04
  2. Specialty average$8,318.07

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

  1. Licking Memorial Health ProfessionalsNewark, OH

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Neurology Physician providers in Ohio

There are 789 neurology physician records in Ohio.

Other neurology physician records in Ohio

  1. Justin Abbatemarco, MDCleveland, OH1568857803
  2. Hesham Abboud, M.D.Cleveland, OH1720318355
  3. Mourad Abdelmessih, M.DNewark, OH1184628950
  4. Charles Abler, DOCincinnati, OH1043362445
  5. Tamer Abou-Elsaad, MDCincinnati, OH1255302808
  6. Mohammad Abualia, M.D.Cleveland, OH1003489287
  7. James AddingtonColumbus, OH1467741082
  8. Amir Adeli, M.D.Columbus, OH1841427143
  9. Anahita Adeli, MDColumbus, OH1336303619
  10. Anastazia Agin, MDSpringfield, OH1245527514

Common questions

What is Prem Mathai, MD's NPI number?

Prem Mathai, MD's National Provider Identifier (NPI) is 1518192780, issued on May 18, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Prem Mathai, MD located?

The NPPES record lists a practice address at 150 Mcmillen Dr, Newark, OH, 43055. Phone: (220) 564-7985. Providers update this record themselves, so call before visiting.

How can I verify Prem Mathai, MD's license?

NPPES lists Ohio license number 35.125013, as entered by the provider. Search the State Medical Board of Ohio at https://elicense.ohio.gov/oh_verifylicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Prem Mathai, MD prescribe under Medicare Part D?

In 2024, Prem Mathai, MD had 2,262 Medicare Part D claims for 342 beneficiaries; the average among neurology physician prescribers was 1,370. Part D covers Medicare prescriptions only.

What is Prem Mathai, MD's MIPS final score?

The 2023 MIPS final score is 76.8 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.