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MARY STEPHENS MATHIS PA-C
NPI 1053446690
Physician Assistant in Saint Johns, FL

Active since February 23, 2007PECOS EnrolledAccepts Medicare Assignment
91.62/100
CMS Quality Rating
1310 COUNTY ROAD 210 W, SAINT JOHNS, FL 32259(904) 824-4407(904) 390-7459 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2023, Dec 14, 2018, Nov 17, 2015 and 1 more (4 updates tracked since 2015).

About Mary Stephens Mathis Pa-c NPPES

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

MARY STEPHENS MATHIS PA-C (NPI 1053446690) is an individual physician assistant in Saint Johns, Florida, licensed in Florida (PA9103761) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1053446690
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY STEPHENS MATHISCredential: PA-C
Location Address1310 COUNTY ROAD 210 WSaint Johns, FL 32259
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-1032 · Fax (904) 376-3107
Phone(904) 824-4407
Fax(904) 390-7459
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 23, 2007
Last NPPES UpdateAugust 15, 20234 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
✔ NPI 1053446690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9103761
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1310 COUNTY ROAD 210 W, Saint Johns, FL 32259
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Other Identifiers 1

OtherP00944724FL · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Stephens Mathis Pa-c 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 ID7517149313
PECOS Enrollment IDI20110316000177
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.

Areas of Expertise CMS Part B claims 6

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.

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.
147 services93 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
31 services26 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
13 services13 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32259 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.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

DR. MATTHEW RYAN DEBOER DO
Family Medicine
1310 COUNTY ROAD 210 W
SAINT JOHNS, FL 32259
St. Johns County (904) 824-4407
OLIVIA MICHELLE BULLOCK DO
Family Medicine
1310 COUNTY ROAD 210 W
SAINT JOHNS, FL 32259
St. Johns County (904) 824-4407
DR. ANA MARIA ROMERO M.D.
Family Medicine
1310 COUNTY ROAD 210 W
SAINT JOHNS, FL 32259
St. Johns County (904) 824-4407
LEAH M ROSE APRN
Nurse Practitioner
1310 COUNTY ROAD 210 W
SAINT JOHNS, FL 32259
St. Johns County (904) 824-4407
BAPTIST PRIMARY CARE INC
Family Medicine
1310 COUNTY ROAD 210 W
ST. JOHNS, FL 32259
St. Johns County (904) 824-4407
JASON WAYNE LARGEN M.D.
Family Medicine
1310 COUNTY ROAD 210 W
ST JOHNS, FL 32259
St. Johns County (904) 824-4407
DR. TONY L. WILLSON MD
Family Medicine
1310 COUNTY ROAD 210 W
ST JOHNS, FL 32259
St. Johns County (904) 824-4407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Mathis's NPI number?

The NPI number for Mary Mathis is 1053446690. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Mary Mathis located?

Mary Mathis practices at 1310 County Road 210 W, Saint Johns, FL 32259. The listed phone number is (904) 824-4407.

What is Mary Mathis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Mathis enrolled in Medicare?

Yes. Mary Mathis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Mathis accept?

Health plans from AvMed list Mary Mathis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Mathis affiliated with any hospitals?

According to CMS data, Mary Mathis is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Mary Mathis was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.