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DR. MARK A MALIAS M.D.
NPI 1912993296
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Fort Pierce, FL

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2100 NEBRASKA AVE STE 201, FORT PIERCE, FL 34950(772) 465-8100(772) 465-8689 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2022, Aug 1, 2018 (2 updates tracked since 2018).

About Dr. Mark A Malias M.d. NPPES

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

DR. MARK A MALIAS M.D. (NPI 1912993296) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Fort Pierce, Florida, licensed in Florida (ME69913) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Indian River Hospital, and is a graduate of University Of Louisville School Of Medicine (1989).

NPPES Registry Identity

NPI1912993296
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. MARK A MALIASCredential: M.D.
Location Address2100 NEBRASKA AVE STE 201Fort Pierce, FL 34950-4832
Mailing Address2100 Nebraska Ave Ste 201Fort Pierce, FL 34950-4832 · (772) 465-8100 · Fax (772) 465-8689
Phone(772) 465-8100
Fax(772) 465-8689
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1989
Enumeration DateSeptember 22, 2005
Last NPPES UpdateOctober 12, 20222 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
✔ NPI 1912993296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in FL · ME69913
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
2100 NEBRASKA AVE STE 201, Fort Pierce, FL 34950
Open in Google Maps ↗

Other Identifiers 2

Medicaid250870200FL
Other28904FL · Individual Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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. Mark A Malias 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 ID840386132
PECOS Enrollment IDI20071018000030
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 Reassignment

Medicare enrollment records show Mark Malias reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lawnwood Cardiovascular Surgery LLC
Same address
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2100 NEBRASKA AVE STE 201
Fort Pierce, FL 34950
  • Reassigned Medicare billing, Florida enrollment
  • 58 clinicians in this Medicare group
NPI 1386724169 (772) 465-8100

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 9

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
26 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients
Exclusion of appendage of left upper chamber of heart performed during other procedure on chest 33268
This is a procedure done on the heart's left upper chamber (atrium). The small pouch-like appendage is sealed off during another chest procedure. This is done to reduce the risk of blood clots forming and causing strokes.
22 services22 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
20 services20 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
19 services19 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 Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Hca Florida Lawnwood Hospital

Acute Care Hospitals · Fort Pierce, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100246
Location1700 S 23rd StFort Pierce, FL 34950 · St. Lucie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34950 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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.

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

Reported Quality Measures

e-Prescribing
85%20 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%59 patients5/55-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 6

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

TAYLOR LEIGH VANDERARK ARNP
Nurse Practitioner
2100 NEBRASKA AVE STE 201
FORT PIERCE, FL 34950
St. Lucie County (772) 465-8100
MRS. MALLORY ANN SHEPKOSKY APRN, FNP-C
Nurse Practitioner
2100 NEBRASKA AVE STE 201
FORT PIERCE, FL 34950
St. Lucie County (772) 465-8100
LAWNWOOD CARDIOVASCULAR SURGERY LLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2100 NEBRASKA AVE STE 201
FORT PIERCE, FL 34950
St. Lucie County (772) 465-8100
MR. NEIL CHRISTOPHER SIMA PA-C
Physician Assistant
2100 NEBRASKA AVE STE 201
FORT PIERCE, FL 34950
St. Lucie County (772) 465-8100
FRANK JOSEPH PEZZIMENTI PA-C
Physician Assistant
2100 NEBRASKA AVE STE 201
FORT PIERCE, FL 34950
St. Lucie County (772) 465-8100
ELIZA GORDON PA-C
Physician Assistant
2100 NEBRASKA AVE STE 201
FORT PIERCE, FL 34950
St. Lucie County (772) 465-8100

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 Malias's NPI number?

The NPI number for Mark Malias is 1912993296. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Mark Malias located?

Mark Malias practices at 2100 Nebraska Ave Ste 201, Fort Pierce, FL 34950. The listed phone number is (772) 465-8100.

What is Mark Malias's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Mark Malias enrolled in Medicare?

Yes. Mark Malias 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 organization bills Medicare for Mark Malias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Malias reassigns Medicare benefits to Lawnwood Cardiovascular Surgery LLC (Fort Pierce, FL). The 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 Malias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Malias accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Mark Malias 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 Malias affiliated with any hospitals?

According to CMS data, Mark Malias is affiliated with Cleveland Clinic Indian River Hospital and Hca Florida Lawnwood Hospital.

When was this NPI record last updated?

The NPPES record for Mark Malias was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.