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DR. MOHAMMAD REZA MASTALI M.D.
NPI 1689762924
Internal Medicine - Gastroenterology in Davenport, FL

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
105 PARK PLACE BLVD STE A, DAVENPORT, FL 33837(863) 419-2156 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Mohammad Reza Mastali M.d. NPPES

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

DR. MOHAMMAD REZA MASTALI M.D. (NPI 1689762924) is an individual gastroenterology provider in Davenport, Florida, licensed in Florida (ME 85686) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Ocoee.

NPPES Registry Identity

NPI1689762924
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MOHAMMAD REZA MASTALICredential: M.D.
Location Address105 PARK PLACE BLVD STE ADavenport, FL 33837-6870
Mailing Address105 Park Place Blvd Ste ADavenport, FL 33837-6870 · (863) 419-2156
Phone(863) 419-2156
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateOctober 11, 2006
Last NPPES UpdateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
✔ NPI 1689762924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME 85686
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
105 PARK PLACE BLVD STE A, Davenport, FL 33837
Open in Google Maps ↗

Secondary Practice Location 1

Location 110000 W Colonial Dr Ste 389Ocoee, FL 34761-3433 · Phone (407) 822-1171 · Fax (407) 822-1172

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), Health First Commercial Plans, Inc. and more.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. Mohammad Reza Mastali M.d. 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 ID3375648959
PECOS Enrollment IDI20070411000138
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mohammad Mastali reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastro Health, LLC
24 mi
Gastroenterology
6735 CONROY RD STE 214
Orlando, FL 32835
  • Reassigned Medicare billing, Florida enrollment
  • 325 clinicians in this Medicare group
NPI 1568194306 (407) 395-7040
Florida Hospital Physician Group Inc
48 mi
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
NPI 1174955256 (813) 336-5766

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
86 services84 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
86 services85 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
74 services58 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.
70 services54 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
34 services34 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100137
Location40100 Hwy 27Davenport, FL 33837 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33837 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
$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.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
1%878 patients1/55-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%2,390 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
71%595 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%690 patients4/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
100%31 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
5%639 patients1/55-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…
65%1,376 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%35 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
77%605 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
56%639 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
44%639 patients3/55-star benchmark: 79%
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 4

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

LUIS ANDRES GIL DO
Internal Medicine (Gastroenterology)
105 PARK PLACE BLVD STE A
DAVENPORT, FL 33837
Polk County (863) 419-2156
DR. FAIYAAZ MUSTANSIR JHAVERI MD
Urology
105 PARK PLACE BLVD STE A
DAVENPORT, FL 33837
Polk County (863) 419-2165
HERLIENI ESCALERA APRN
Nurse Practitioner (Family)
105 PARK PLACE BLVD STE A
DAVENPORT, FL 33837
Polk County (863) 419-2156
MRS. ROCHELLE HOWELL APRN
Nurse Practitioner
105 PARK PLACE BLVD STE A
DAVENPORT, FL 33837
Polk County (863) 419-2156

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 Mohammad Mastali's NPI number?

The NPI number for Mohammad Mastali is 1689762924. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Mohammad Mastali located?

Mohammad Mastali practices at 105 Park Place Blvd Ste A, Davenport, FL 33837. The listed phone number is (863) 419-2156.

What is Mohammad Mastali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mohammad Mastali enrolled in Medicare?

Yes. Mohammad Mastali 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 Mohammad Mastali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Mastali reassigns Medicare benefits to 2 organizations: Gastro Health, LLC (Orlando, FL) and Florida Hospital Physician Group Inc (Tampa, FL). 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 Mohammad Mastali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammad Mastali accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer list Mohammad Mastali 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 Mohammad Mastali affiliated with any hospitals?

According to CMS data, Mohammad Mastali is affiliated with Adventhealth Orlando and Adventhealth Heart Of Florida.

When was this NPI record last updated?

The NPPES record for Mohammad Mastali was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.