DR. MARK A BARRAZA MD
NPI 1346271772
Urology in Jacksonville, FL

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
69.83/100
CMS Quality Rating
807 CHILDRENS WAY, JACKSONVILLE, FL 32207(904) 390-3600(904) 390-3491 Get Directions Write a Review

NPPES record last updated: October 18, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark A Barraza Md NPPES

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

DR. MARK A BARRAZA MD (NPI 1346271772) is an individual urology provider in Jacksonville, Florida, licensed in Florida (ME97140) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of University Of Mississippi School Of Medicine (1980).

NPPES Registry Identity

NPI1346271772
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. MARK A BARRAZACredential: MD
Location Address807 CHILDRENS WAYJacksonville, FL 32207-8426
Mailing AddressPo Box 191, Provider EnrollmentRockland, DE 19732-0191 · (302) 651-6212 · Fax (302) 651-4945
Fax(904) 390-3491
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1980
Enumeration DateJuly 5, 2006
Last NPPES UpdateOctober 18, 2011
NPI 1346271772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in FL · ME97140
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
807 CHILDRENS WAY, Jacksonville, FL 32207

Other Identifiers 4

Medicaid687539028AGA
Medicaid277026100FL
Medicare PIND50354
Medicare PIN02140X

Accepted 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

Dr. Mark A Barraza Md 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 ID3678575065
PECOS Enrollment IDI20181113000502
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.

Hospital Affiliations CMS Care Compare

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

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number250001
Location2500 N State StJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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.

69.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.08
Promoting Interoperability83
Improvement Activities40
Cost48.31

Other Providers at the Same Location NPPES 20

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

Physician Assistant
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Physician Assistant
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Pharmacist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Otolaryngology (Pediatric Otolaryngology)
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Speech-Language Pathologist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Pharmacy (Community/Retail Pharmacy)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207

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 Mark Barraza's NPI number?

The NPI number for Mark Barraza is 1346271772. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Mark Barraza located?

Mark Barraza practices at 807 Childrens Way, Jacksonville, FL 32207. The listed phone number is (904) 390-3600.

What is Mark Barraza's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Mark Barraza enrolled in Medicare?

Yes. Mark Barraza 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 Mark Barraza accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Mark Barraza 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 Mark Barraza affiliated with any hospitals?

According to CMS data, Mark Barraza is affiliated with University Of Mississippi Med Center.

When was this NPI record last updated?

The NPPES record for Mark Barraza was last updated on October 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.