Brian Lawrence Mavretich, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OS17981 Issued in FL

Practice address

6333 54TH Ave N
St Petersburg, FL 33709-1703

Phone

(727) 548-6100

Fax

(727) 497-2322

NPI assigned

May 15, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and RehabilitationAlso: Pain Management

Education

Michigan State University College of Osteopathic Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Anesthesia Associates LLC 47 clinicians

Florida Medical Pain Management LLC 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.19 of 100Reported as group

Promoting interoperability

92

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles (9 of 14)

Locations

Networks

• FL HMO D-SNP
• Freedom Health HMO Network
• FL PPO
• FL HMO C-SNP
• FL HMO

Interoperability endpoints

• Direct secure messaging: brian.mavretich.1@30104.direct.athenahealth.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Medical Pain Management LLC

  • Interventional Pain Medicine Physician
  • Saint Petersburg, FL
  • NPI 1588852776

  FL, Interventional Pain Medicine

  Medicare reassignment Care Compare group NPD
• Mobile Anesthesia Associates LLC

  • Pain Medicine (Anesthesiology) Physician
  • Stuart, FL
  • NPI 1295776243

  FL, Interventional Pain Medicine

  Medicare reassignment Care Compare group NPD
• National Surgical Centers of America LLC

  • Ambulatory Surgical Clinic/Center
  • Lady Lake, FL
  • NPI 1063853174

  FL

  Medicare reassignment NPD
• National Surgical Centers of America LLC

  • Ambulatory Surgical Clinic/Center
  • Winter Park, FL
  • NPI 1770724122

  FL

  Medicare reassignment NPD
• National Surgical Centers of America LLC

  • Ambulatory Surgical Clinic/Center
  • Delray Beach, FL
  • NPI 1992040976

  FL

  Medicare reassignment NPD
• Florida Pain and Rehabilitation Associates Inc

  • Interventional Pain Medicine Physician
  • Delray Beach, FL
  • NPI 1902064876

  FL

  Medicare reassignment
• National Surgical Centers of America LLC

  • Ambulatory Surgical Clinic/Center
  • Port St. Lucie, FL
  • NPI 1346662186

  FL

  Medicare reassignment
• Advanced Surgical Care of Clearwater LLC

  • Ambulatory Surgical Clinic/Center
  • Clearwater, FL
  • NPI 1154956928
  NPD
• Baptist Surgery and Endoscopy Centers LLC

  • Ambulatory Surgical Clinic/Center
  • West Palm Beach, FL
  • NPI 1407227358
  NPD
• Florida Pain and Rehabilitation Associates Inc

  • Specialist
  • Delray Beach, FL
  • NPI 1053363457

  Interventional Pain Medicine

  NPD
• Florida Pain and Rehabilitation Associates Inc

  • Specialist
  • Fort Lauderdale, FL
  • NPI 1598347726
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1013444512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4385 48TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337114611",
            "telephone_number": "248-420-9942",
            "fax_number": "727-497-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 54TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091703",
            "telephone_number": "727-548-6100",
            "fax_number": "727-497-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVRETICH",
        "first_name": "BRIAN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS17981",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS17981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Saunders LCSW PLLC
• Benjamin Maurer, PHYSICAL THERAPIST
• Susan Maurer, ARNP
• Daniel Anthony Mauriello, M.D.
• Anastasios Mavrakis, MD
• Angelia Fletcher Mavros
• Mawn Chiropractic PA
• Dyllon Mawn, DC
• Max Day PLLC
• Trevor Maxfield, BCBA

• All providers in St Petersburg, FL
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.