DR. MARK A BARRAZA MD
NPI 1346271772
Urology in Jacksonville, FL
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
Specialties & Licenses
Other Identifiers 4
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. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mark Barraza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32207
- Reassigned Medicare billing, Florida enrollment
- 703 clinicians in this Medicare group
West, MS 39192
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 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.
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, MSPhysician 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.
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32207
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.
Which organizations bill Medicare for Mark Barraza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Barraza reassigns Medicare benefits to 2 organizations: The Nemours Foundation (Jacksonville, FL) and State Of Mississippi - University Of Mississippi Medical Center (West, MS). Each 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 Mark Barraza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Barraza accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers 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 15 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. Mark A Barraza, MD · NPI 1346271772
Urology physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since July 5, 2006.
## Identity
- **NPI:** 1346271772 (Entity type: Individual)
- **Enumerated:** July 5, 2006
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** ME97140 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 807 CHILDRENS WAY, Jacksonville, FL 32207-8426
- **Phone:** (904) 390-3600 · **Fax:** (904) 390-3491
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): The Nemours Foundation (NPI 1265585806, Jacksonville, FL); State Of Mississippi - University Of Mississippi Medical Center (NPI 1194738393, West, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 1980
## Record status
- **NPPES last updated:** October 18, 2011
- **Other identifiers:** Medicaid 687539028A (GA); Medicaid 277026100 (FL); Medicare PIN D50354; and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1346271772) · Data from the CMS NPPES public registry.