DR. MAMATHA PRABHAKARA (M.D.) – Internal Medicine Physician, NPI 1225092430
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,251 HOSPITALIST in MA
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Provider Addresses for DR. MAMATHA PRABHAKARA (M.D.)
960 MASSACHUSETTS AVE STE 2
BOSTON, MA 021182690
Phone: (617) 414-4505
Type: Mailing
Good Samaritan Medical Center, 235, North Pearl Street, Brockton, Plymouth County, Massachusetts, 02301, United States
BROCKTON, MA 023011794
Phone: (508) 427-2335
Type: Location
10, Bluff Head Road, Sharon, Norfolk County, Massachusetts, 02067, United States
SHARON, MA 020671644
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $315.
Total Amount is formed as General ($315) + Research ($0) + Ownership ($0) = $315.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ABIOMED ($110).
Total Amount
$315
General + Research + Ownership
Payments
9
Total payment records
General Amount
$315
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $110 |
| Janssen Pharmaceuticals, Inc | $90 |
| Philips Electronics North America Corporation | $61 |
| PFIZER INC. | $28 |
| Mylan Specialty L.P. | $26 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-12-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041203000115 | I | Hospitalist | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 541 | 280 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 535 | 247 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 424 | 396 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 19 | 19 | $0 |
Insurance plans in this area (ZIP 02118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MA | |
| Diagnostic Radiology | MA | |
| Anesthesiology, Pain Management | MA | |
| Physician Assistant | MA | |
| Internal Medicine, Infectious Disease | MA | |
| Physician Assistant | MA | |
| Hospitalist, Internal Medicine | MA | |
| Pulmonary Disease, Infectious Disease | MA | |
| Pulmonary Disease, Critical Care (Intensivists) | MA | |
| Physician Assistant | MA |
Reviews
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