DR. MATTHEW CHRISTOPHER MAI M.D.
NPI 1003902354
Orthopaedic Surgery in Gulf Breeze, FL

Q: What is Matthew Mai's NPI number?

The NPI number for Matthew Mai is 1003902354. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Matthew Mai's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Mai was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment

79.26/100

CMS Quality Rating

1040 GULF BREEZE PKWY STE 200, GULF BREEZE, FL 32561(850) 916-3700(850) 916-3710 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2026, Apr 27, 2018 (2 updates tracked since 2018).

On this page

About Dr. Matthew Christopher Mai M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW CHRISTOPHER MAI M.D. (NPI 1003902354) is an individual orthopaedic surgery provider in Gulf Breeze, Florida, licensed in Florida (ME113618) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2006).

NPPES Registry Identity

NPI1003902354

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. MATTHEW CHRISTOPHER MAICredential: M.D.

Location Address1040 GULF BREEZE PKWY STE 200Gulf Breeze, FL 32561-7808

Mailing Address11945 San Jose Blvd Ste 300Jacksonville, FL 32223-1627 · (904) 396-1725 · Fax (904) 396-4893

Phone(850) 916-3700

Fax(850) 916-3710

Sole ProprietorYes

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2006

Enumeration DateOctober 5, 2006

Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1003902354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in FL · ME113618

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1040 GULF BREEZE PKWY STE 200, Gulf Breeze, FL 32561

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew Christopher Mai M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052562931

PECOS Enrollment IDI20121127000625

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Mai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Florida Surgeons, PA

331 mi

Surgery

11945 SAN JOSE BLVD STE 300
Jacksonville, FL 32223

Reassigned Medicare billing, Florida enrollment
321 clinicians in this Medicare group

NPI 1912953290 (904) 396-1725

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

2,686 services234 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

996 services532 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

567 services418 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

294 services239 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

199 services179 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

189 services180 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

179 services179 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

122 services96 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

87 services85 patients

Other procedure on pelvis or hip joint 27299

This procedure involves a surgical operation on the pelvis or hip joint. It may be performed to repair damage, correct deformities, or improve function. This could include procedures like hip replacement or fracture repair. You'll be under anesthesia, ensuring a pain-free experience.

58 services56 patients

Other procedure on joint using an endoscope 29999

An endoscopic joint procedure is a minimally invasive surgery using a small camera (endoscope) to view and treat issues inside a joint. This approach requires smaller incisions, which may lead to less pain and quicker recovery compared to traditional surgery.

29 services16 patients

Removal of fluid-filled sac (bursa) or calcium deposit of pelvis 27062

This procedure involves the removal of a fluid-filled sac (bursa) or calcium deposit in the pelvis area. It's done to alleviate discomfort and improve mobility. The surgeon makes a small incision, extracts the bursa or deposit, and then closes the incision.

15 services15 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100025

Location5151 N 9th AvePensacola, FL 32504 · Escambia County

Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100093

Location123 Baptist WayPensacola, FL 32503 · Escambia County

Emergency services Birthing friendly

Hca Florida West Hospital

Acute Care Hospitals · Pensacola, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100231

Location8383 N Davis HwyPensacola, FL 32514 · Escambia County

Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100266

Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32561 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.47

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers11 claims11 services$55.58 avg. paid by Medicare

Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment L1686

DME-Orthotic Devices · category DF000N

2 suppliers13 claims13 services$726.30 avg. paid by Medicare

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each L2622

DME-Orthotic Devices · category DF000N

2 suppliers13 claims13 services$223.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD O NENSTIEL PAC

Physician Assistant