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THEOPHILUS MASON FNP
NPI 1205580701
Nurse Practitioner - Family in Pomona, CA

Active since February 04, 2022PECOS Enrolled
87.08/100
CMS Quality Rating
250 W BONITA AVE STE 100, POMONA, CA 91767(909) 392-2002(626) 795-4768 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2024, Feb 4, 2022 (2 updates tracked since 2022).

About Theophilus Mason Fnp NPPES

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

THEOPHILUS MASON FNP (NPI 1205580701) is an individual family provider in Pomona, California, licensed in California (NP95029519) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205580701
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHEOPHILUS MASONCredential: FNP
Location Address250 W BONITA AVE STE 100Pomona, CA 91767-1863
Mailing Address250 W Bonita Ave Ste 100Pomona, CA 91767-1863 · (909) 392-2002 · Fax (626) 795-4768
Phone(909) 392-2002
Fax(626) 795-4768
Sole ProprietorYes
Enumeration DateFebruary 4, 2022
Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1205580701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · NP95029519✔ Licensed in IL · 209023392
250 W BONITA AVE STE 100, Pomona, CA 91767
Open in Google Maps ↗

Other Names 1

Other Name (5)Theophilus Mason Fnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theophilus Mason Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91767 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

Other Providers at the Same Location NPPES 2

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

STEPHANIE CROPPER, MD, INC.
Obstetrics & Gynecology
250 W BONITA AVE STE 100
POMONA, CA 91767
Los Angeles County (909) 392-2002
KYLIE FULLER MD INC
Obstetrics & Gynecology
250 W BONITA AVE STE 100
POMONA, CA 91767
Los Angeles County (412) 327-1596

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 Theophilus Mason's NPI number?

The NPI number for Theophilus Mason is 1205580701. It was assigned to this individual provider in the NPPES registry on February 4, 2022. The provider is also known as Theophilus Mason Fnp.

Where is Theophilus Mason located?

Theophilus Mason practices at 250 W Bonita Ave Ste 100, Pomona, CA 91767. The listed phone number is (909) 392-2002.

What is Theophilus Mason's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Theophilus Mason enrolled in Medicare?

Yes. Theophilus Mason is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theophilus Mason was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.