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MATHEW DOBLE M.D.
NPI 1295268894
Surgery in Winter Park, FL

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1181 ORANGE AVE, WINTER PARK, FL 32789(407) 647-1331(407) 647-2710 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 1, 2024, Apr 10, 2017 (2 updates tracked since 2017).

About Mathew Doble M.d. NPPES

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

MATHEW DOBLE M.D. (NPI 1295268894) is an individual surgery provider in Winter Park, Florida, licensed in Florida (ME162122) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295268894
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMATHEW DOBLECredential: M.D.
Location Address1181 ORANGE AVEWinter Park, FL 32789-4907
Mailing Address1181 Orange AveWinter Park, FL 32789-4971 · (407) 647-1331 · Fax (407) 647-2710
Phone(407) 647-1331
Fax(407) 647-2710
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 10, 2017
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1295268894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME162122
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1181 ORANGE AVE, Winter Park, FL 32789
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.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

Mathew Doble 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 ID5193097210
PECOS Enrollment IDI20230810001903
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 5

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
32 services14 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services29 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.
24 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services20 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32789 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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

THOMAS KEPNER MAHAN M.D.
Surgery
1181 ORANGE AVE
WINTER PARK, FL 32789
Orange County (407) 647-1331
DR. ROBERTO GONZALES POSADA M.D.
Surgery
1181 ORANGE AVE
WINTER PARK, FL 32789
Orange County (407) 647-1331
SURGICAL ASSOCIATES OF CENTRAL FLORIDA PA
Surgery
1181 ORANGE AVE
WINTER PARK, FL 32789
Orange County (407) 647-1331
TIMOTHY CHARLES CHILDERS M.D.
Surgery
1181 ORANGE AVE
WINTER PARK, FL 32789
Orange County (407) 647-1331

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 Mathew Doble's NPI number?

The NPI number for Mathew Doble is 1295268894. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Mathew Doble located?

Mathew Doble practices at 1181 Orange Ave, Winter Park, FL 32789. The listed phone number is (407) 647-1331.

What is Mathew Doble's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mathew Doble enrolled in Medicare?

Yes. Mathew Doble 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 Mathew Doble accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Mathew Doble 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 Mathew Doble affiliated with any hospitals?

According to CMS data, Mathew Doble is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Mathew Doble was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.