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SIMONE GRACA MATER MD
NPI 1659552305
Family Medicine in Venice, FL

Active since November 23, 2007Opted out of Medicare · through Jan 7, 2028
8431 POINTE LOOP DR, 1ST FLOOR, VENICE, FL 34293(941) 207-5320(941) 207-5321 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Simone Graca Mater Md NPPES

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

SIMONE GRACA MATER MD (NPI 1659552305) is an individual family medicine provider in Venice, Florida, licensed in Florida (ME112920) and active in the NPI registry since November 2007. She has opted out of Medicare through January 7, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659552305
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSIMONE GRACA MATERCredential: MD
Location Address8431 POINTE LOOP DR, 1ST FLOORVenice, FL 34293-2232
Mailing Address8431 Pointe Loop Dr, 1st FloorVenice, FL 34293-2232 · (941) 207-5320 · Fax (941) 207-5321
Phone(941) 207-5320
Fax(941) 207-5321
Sole ProprietorNo
Enumeration DateNovember 23, 2007
Last NPPES UpdateJuly 1, 2013
✔ NPI 1659552305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME112920
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8431 POINTE LOOP DR, Venice, FL 34293
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Other Identifiers 3

OtherP01128000FL · Railroad Medicare
Medicaid006232100FL
Medicare PINGH291ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Simone Graca Mater Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 7, 2022 through January 7, 2028.

Opt-Out Effective DateJanuary 7, 2022
Opt-Out In Effect ThroughJanuary 7, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34293 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
34%862 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
31%1,462 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
31%67 patients2/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
75%67 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,379 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%2,855 patients2/55-star benchmark: 97%
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 2

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

LISA M GEER-YAN M.D.
Obstetrics & Gynecology (Gynecology)
8431 POINTE LOOP DR, 2ND FLOOR
VENICE, FL 34293
Sarasota County (941) 207-5330
PEGGY BENZING D.O.
Family Medicine
8431 POINTE LOOP DR, FIRST FLOOR
VENICE, FL 34293
Sarasota County (941) 207-5320

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 Simone Mater's NPI number?

The NPI number for Simone Mater is 1659552305. It was assigned to this individual provider in the NPPES registry on November 23, 2007.

Where is Simone Mater located?

Simone Mater practices at 8431 Pointe Loop Dr 1st Floor, Venice, FL 34293. The listed phone number is (941) 207-5320.

What is Simone Mater's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Simone Mater enrolled in Medicare?

No. Simone Mater has opted out of Medicare through January 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Simone Mater accept?

Health plans from Oscar Health Maintenance Organization of Florida list Simone Mater 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.

When was this NPI record last updated?

The NPPES record for Simone Mater was last updated on July 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.