DR. WILMER NEPTALI MATA M.D.
NPI 1104168509
Surgery in Miami, FL
About Dr. Wilmer Neptali Mata M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WILMER NEPTALI MATA M.D. (NPI 1104168509) is an individual surgery provider in Miami, Florida, licensed in Florida (ME134812) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and maintains a secondary practice location in Indianapolis.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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. Wilmer Neptali Mata 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.
Medicare Billing Reassignment
Medicare enrollment records show Wilmer Mata reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33176
- Reassigned Medicare billing, Florida enrollment
- 685 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Hospital Of Miami
Acute Care Hospitals · Miami, FLSouth Miami Hospital
Acute Care Hospitals · South Miami, FLWest Kendall Baptist Hospital
Acute Care Hospitals · Miami, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33196 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIAMI, FL 33196
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 Wilmer Mata's NPI number?
The NPI number for Wilmer Mata is 1104168509. It was assigned to this individual provider in the NPPES registry on March 23, 2013.
Where is Wilmer Mata located?
Wilmer Mata practices at 15955 SW 96th St Ste 102, Miami, FL 33196. The listed phone number is (786) 467-3435.
What is Wilmer Mata's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Wilmer Mata enrolled in Medicare?
Yes. Wilmer Mata 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.
Which organization bills Medicare for Wilmer Mata's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wilmer Mata reassigns Medicare benefits to Baptist Health Medical Group Physicians LLC (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wilmer Mata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Wilmer Mata accept?
Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Wilmer Mata 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 Wilmer Mata affiliated with any hospitals?
According to CMS data, Wilmer Mata is affiliated with Baptist Hospital Of Miami, South Miami Hospital and West Kendall Baptist Hospital.
When was this NPI record last updated?
The NPPES record for Wilmer Mata was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Wilmer Neptali Mata, M.D. · NPI 1104168509
Surgery physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since March 23, 2013.
## Identity
- **NPI:** 1104168509 (Entity type: Individual)
- **Enumerated:** March 23, 2013
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** ME134812 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15955 SW 96TH ST STE 102, Miami, FL 33196
- **Phone:** (786) 467-3435 · **Fax:** (786) 533-9383
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Baptist Health Medical Group Physicians LLC (NPI 1891893343, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** July 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1104168509) · Data from the CMS NPPES public registry.