DR. BENJAMIN KEITH MATTOX PA-C, DRPH
NPI 1669725644
Physician Assistant - Surgical in Pensacola, FL
NPI Status: Active since October 16, 2012
Contact Information
220 HOVEY RD
PENSACOLA, FL
ZIP 32508
Phone: (571) 435-0134
- Individual
- Male
- Physician Assistant
- Surgical
- PECOS Enrolled
About BENJAMIN MATTOX
This page provides the complete NPI Profile along with additional information for Benjamin Mattox, a provider established in Pensacola, Florida with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1669725644 assigned on October 2012. The practitioner's primary taxonomy code is 363AS0400X with license number 61454 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1669725644
- Provider Name
- DR. BENJAMIN KEITH MATTOX PA-C, DRPH
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 220 HOVEY RD PENSACOLA, FL 32508
- Location Phone
- (571) 435-0134
- Mailing Address
- 220 HOVEY RD PENSACOLA, FL 32508
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-16-2012
- Last Update Date
- 08-14-2025
- Code Navigator
Location Map
Secondary Locations
- 27001 Moulton Pkwy Ste A102
Laguna Hills, CA 92656
(949) 244-0304 - 200 Mercy Circle
Camp Pendleton, CA 92055
(760) 725-1288
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 61454
- License State
- CA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 61454 (CA) |
| 2 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 3 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 0110005055 (VA) |
Medicare Participation & PECOS Enrollment Status
Benjamin Mattox is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
New patient office or other outpatient visit, 30-44 minutes
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.
This service was performed 33 times for 32 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 25 times for 25 patientsReviews for DR. BENJAMIN KEITH MATTOX PA-C, DRPH
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1669725644, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PENSACOLA, FL 32508
PENSACOLA, FL 32508
PENSACOLA, FL 32508
PENSACOLA, FL 32508
PENSACOLA, FL 32508
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669725644, enumerated as an "individual" on October 16, 2012.
The provider is located at 220 HOVEY RD PENSACOLA, FL 32508 and the phone number is (571) 435-0134.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
