MARK ANTHONY MATHIAS PA-C
NPI 1922310952
Physician Assistant - Surgical in Jacksonville, FL

Active since July 07, 2010PECOS EnrolledAccepts Medicare Assignment
84.3/100
CMS Quality Rating
2627 RIVERSIDE AVE STE 300, JACKSONVILLE, FL 32204(904) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Anthony Mathias Pa-c NPPES

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

MARK ANTHONY MATHIAS PA-C (NPI 1922310952) is an individual surgical provider in Jacksonville, Florida, licensed in Florida (PA9105501) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1922310952
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMARK ANTHONY MATHIASCredential: PA-C
Location Address2627 RIVERSIDE AVE STE 300Jacksonville, FL 32204-4712
Mailing Address2 Shircliff Way, Suite 605, Depaul BldgJacksonville, FL 32204-4753 · (904) 328-5979 · Fax (904) 619-9925
Fax(904) 634-0203
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 7, 2010
Last NPPES UpdateOctober 21, 2019
NPI 1922310952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9105501
2627 RIVERSIDE AVE STE 300, Jacksonville, FL 32204

Accepted 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

Mark Anthony Mathias Pa-c 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 ID3779617998
PECOS Enrollment IDI20100810000598
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 16

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.

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322
Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.
4,560 services85 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
3,302 services304 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.
675 services319 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.
415 services306 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.
199 services163 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
138 services106 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

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.

84.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.68
Promoting Interoperability100
Improvement Activities40
Cost60.99

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers17 claims17 services$42.35 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
1 supplier11 claims11 services$47.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Family)
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Physical Therapist
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Physical Therapist
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Orthopaedic Surgery
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Physician Assistant
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Physician Assistant
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Physician Assistant
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Pain Medicine (Interventional Pain Medicine)
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204

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 Mathias's NPI number?

The NPI number for Mark Mathias is 1922310952. It was assigned to this individual provider in the NPPES registry on July 7, 2010.

Where is Mark Mathias located?

Mark Mathias practices at 2627 Riverside Ave Ste 300, Jacksonville, FL 32204. The listed phone number is (904) 634-0640.

What is Mark Mathias's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mark Mathias enrolled in Medicare?

Yes. Mark Mathias 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 Mark Mathias accept?

Health plans from AvMed list Mark Mathias 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 Mathias affiliated with any hospitals?

According to CMS data, Mark Mathias is affiliated with Adventhealth Daytona Beach and Florida Hospital Flagler.

When was this NPI record last updated?

The NPPES record for Mark Mathias was last updated on October 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.