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J PAUL MAHFOOD MD
NPI 1659316909
Internal Medicine - Rheumatology in Port St Lucie, FL

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
86.71/100
CMS Quality Rating
549 NW LAKE WHITNEY PL, SUITE 101, PORT ST LUCIE, FL 34986(772) 879-2228(772) 879-2208 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About J Paul Mahfood Md NPPES

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

J PAUL MAHFOOD MD (NPI 1659316909) is an individual rheumatology provider in Port St Lucie, Florida, licensed in Florida (ME 65617) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1659316909
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJ PAUL MAHFOODCredential: MD
Location Address549 NW LAKE WHITNEY PL, SUITE 101Port St Lucie, FL 34986-1606
Mailing Address549 Nw Lake Whitney Pl, Suite 101Port St Lucie, FL 34986-1606 · (772) 879-2228 · Fax (772) 879-2208
Phone(772) 879-2228
Fax(772) 879-2208
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJune 19, 2006
Last NPPES UpdateDecember 9, 2011
✔ NPI 1659316909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in FL · ME 65617
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
549 NW LAKE WHITNEY PL, Port St Lucie, FL 34986
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING44657
Medicare PINAE677YFL
Medicaid280671100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.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

J Paul Mahfood 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 ID1254323355
PECOS Enrollment IDI20070725000475
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 10

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.

Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
10,950 services14 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,700 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,032 services248 patients
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401
This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
246 services37 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
136 services27 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
108 services64 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Hca Florida Raulerson Hospital

Acute Care Hospitals · Okeechobee, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100252
Location1796 Hwy 441 NorthOkeechobee, FL 34972 · Okeechobee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34986 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

86.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality74.56
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%21 patients
Advance Care Plan
60%639 patients3/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
24%107 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
48%194 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
86%78 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%3,996 patients5/55-star benchmark: 100%
e-Prescribing
100%1,723 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
56%620 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
42%1,017 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 62% · 838 patients
Patients screened: 67% · 838 patients
55%85 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
84%696 patients4/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Functional Status Assessment
0%235 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
77%262 patients4/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%307 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 583 patients
Patients totalRate: 14% · 645 patients
17%645 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

JACQUELINE KAYLOR
Specialist/Technologist (Speech-Language Assistant)
549 NW LAKE WHITNEY PL, SUITE 103
PORT ST LUCIE, FL 34986
St. Lucie County (772) 301-1207
TREASURES HOME HEALTH CARE INC.
Home Health
549 NW LAKE WHITNEY PL, SUITE 106
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 924-3210
ABL INTEGRATED HEALTH CENTER PSL, PA
Chiropractor
549 NW LAKE WHITNEY PL, SUITE 103
PORT ST LUCIE, FL 34986
St. Lucie County (772) 879-3255
TREASURES SENIOR CARE INC.
In Home Supportive Care
549 NW LAKE WHITNEY PL, SUITE 102
PORT ST LUCIE, FL 34986
St. Lucie County (772) 205-3900
J PAUL MAHFOOD MD INC
Internal Medicine (Rheumatology)
549 NW LAKE WHITNEY PL, SUITE 101
PORT ST LUCIE, FL 34986
St. Lucie County (772) 879-2228

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 J Mahfood's NPI number?

The NPI number for J Mahfood is 1659316909. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is J Mahfood located?

J Mahfood practices at 549 NW Lake Whitney Pl Suite 101, Port St Lucie, FL 34986. The listed phone number is (772) 879-2228.

What is J Mahfood's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is J Mahfood enrolled in Medicare?

Yes. J Mahfood 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 J Mahfood accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list J Mahfood 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 J Mahfood affiliated with any hospitals?

According to CMS data, J Mahfood is affiliated with Cleveland Clinic Martin North Hospital and Hca Florida Raulerson Hospital.

When was this NPI record last updated?

The NPPES record for J Mahfood was last updated on December 9, 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.