NPPES file of Aug 9, 2026

Sumeet Mathur, MD

Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Johnstown, PA

Sumeet Mathur, MD is a plastic surgery within the head & neck (otolaryngology) physician with a practice address in Johnstown, Pennsylvania, and NPI 1609864115, issued on Oct 10, 2005. Check the license (Pennsylvania MD064804L, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

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

NPPES recordNPPES file of Aug 9, 2026
1609864115
Name
Sumeet Mathur
Credential
MD
Primary taxonomy
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X
License number
MD064804L PA
Self-reported in NPPES; status is on the state search
Practice location
1450 Scalp Ave, Johnstown, PA 15904
Phone
(814) 266-1185
Enumerated
Oct 10, 2005
Record last updated
Jul 13, 2026
Fax
(814) 266-1199
Medicare enrollment
Enrolled (PECOS I20230814004179); accepts Medicare assignment
Medical or professional school
Harvard Medical School, 1993
Telehealth
Offers telehealth (CMS)
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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8 nearest plastic surgery within the head & neck (otolaryngology) physician records → All 25 in Pennsylvania → Look up another NPI →

Also registered at 1450 Scalp Ave

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

  1. Geraldine Amper, MDFamily Medicine Physician1801890736
  2. Kristen Barcaro, M.D.Neurology Physician1437425683
  3. Steven Burk, PA-CMedical Physician Assistant1447458989
  4. Sebastian Ciacchella, MDPreventive Medicine/Occupational Environmental Medicine Physician1578633814
  5. Grant Croyle, PHDPsychologist1265427744
  6. Sahar Elias, MDFamily Medicine Physician1053438184

Verify Sumeet Mathur in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD064804L    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 Pennsylvania license search

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42% fewer Medicare Part D claims than the average plastic surgery within the head & neck (otolaryngology) physician in 2024

228 Medicare Part D claims for 75 beneficiaries, against an average of 393 among the 492 providers of this specialty who prescribed in Part D. 51 claims were for opioids.

  1. Sumeet Mathur228
  2. Specialty average393

Most prescribed

  1. Methylprednisolone52 claims
  2. Oxycodone-Acetaminophen51 claims
  3. Cephalexin48 claims
  4. Diazepam41 claims
  5. Ipratropium Bromide13 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: $1,707.87

10 payments; by number, the most common kind was food and beverage; the largest payer was Genzyme Corporation. The 388 providers of this specialty with any payment received $1,454.84 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sumeet Mathur$1,707.87
  2. Specialty average$1,454.84

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. Laurel Ent And Allergy PCMorgantown, WV

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

Sumeet Mathur among 25 plastic surgery within the head & neck (otolaryngology) physician records in Pennsylvania

Sumeet Mathur, MD is one of 25 plastic surgery within the head & neck (otolaryngology) physician records with a practice address in Pennsylvania. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 88% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 68% of these records are
  • Graduated1993 · median 2001 among the 17 with a school on file
  • Record last updated2026 · 44% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207YX0007X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers in Pennsylvania

There are 25 plastic surgery within the head & neck (otolaryngology) physician records in Pennsylvania.

All 25 in Pennsylvania → Every provider in Johnstown → Plastic Surgery within the Head & Neck (Otolaryngology) Physician nationwide →

The 8 plastic surgery within the head & neck (otolaryngology) physician records with the nearest ZIP codes

  1. Mark Klingensmith, MDGreensburg, PA 156011245262476
  2. Renu Paneru, MDTitusville, PA 163541093449845
  3. Joshua Smith, MDPittsburgh, PA 152401770140766
  4. Richard Bernat, MDPittsburgh, PA 152151447218649
  5. Stephen Lorenz, MDPittsburgh, PA 152151316905748
  6. Anthony Ulizio, MDPittsburgh, PA 152151275590309
  7. Evan SomersHershey, PA 170331851634604
  8. Gil Zoizner-Agar, MDHershey, PA 170331508362377

Common questions

What is Sumeet Mathur, MD's NPI number?

Sumeet Mathur, MD's National Provider Identifier (NPI) is 1609864115, issued on Oct 10, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Sumeet Mathur, MD located?

The NPPES record lists a practice address at 1450 Scalp Ave, Johnstown, PA, 15904. Phone: (814) 266-1185. Providers update this record themselves, so call before visiting.

How can I verify Sumeet Mathur, MD's license?

NPPES lists Pennsylvania license number MD064804L, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sumeet Mathur, MD prescribe under Medicare Part D?

In 2024, Sumeet Mathur, MD had 228 Medicare Part D claims for 75 beneficiaries; the average among plastic surgery within the head & neck (otolaryngology) physician prescribers was 393. 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.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

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.