MRS. JINCY MATHEW (PA-C) – Physician Assistant, NPI 1093953648

MRS. JINCY MATHEW (PA-C) is a healthcare provider. based in Detroit, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601005466 (MI). The NPI Number for MRS. JINCY MATHEW (PA-C) is 1093953648

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JINCY MATHEW (PA-C)
NPI
1093953648
Phone
(313) 343-3711
Address
22101 MOROSS RD
Enumeration Date
4 February 2009
Last Update Date
28 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5862860112
Graduation Year
2008 (18 years ago)
PAC ID
0042461139
Group Practice PAC ID
0446330492
Professional Enrollment ID
I20121120000125
Address ID
MI480381137CL43900RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MRS. JINCY MATHEW (PA-C)

  • St. John Hospital and Medical Center, 22101, Moross Road, Detroit, Wayne County, Michigan, 48236, United States

    DETROIT, MI 482362148

    Phone: (313) 343-3711

    Fax: (313) 343-6862

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 94 Open Payments records for all available years, with a total value of $2,932.

Total Amount is formed as General ($2,932) + Research ($0) + Ownership ($0) = $2,932.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($627).

Total Amount

$2,932

General + Research + Ownership

Payments

94

Total payment records

General Amount

$2,932

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2012-11-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121120000125IPhysician AssistantMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3230$0
View full utilization report →

Insurance plans in this area (ZIP 48236)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446330492View full group profile
NameSpecialtyState
D E R M A T O L O G YIN
Physician AssistantNC
Micrographic Dermatologic Surgery (Mds), DermatologyMI
D E R M A T O L O G YMI
Physician AssistantMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI
Physician AssistantMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI

Reviews

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Frequently asked questions

Is there an official ID for MRS. JINCY MATHEW (PA-C) in U.S. healthcare records?
The official identifier for MRS. JINCY MATHEW (PA-C) is NPI 1093953648.
Is MRS. JINCY MATHEW (PA-C) shown as active in public data?
Registry records indicate MRS. JINCY MATHEW (PA-C) maintains an active NPI.
How would a patient describe MRS. JINCY MATHEW (PA-C)'s focus?
For MRS. JINCY MATHEW (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Michigan is MRS. JINCY MATHEW (PA-C) registered?
Use Detroit, Michigan as the headline location for MRS. JINCY MATHEW (PA-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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