Individual provider Active NPI

Mark Andrew Matey, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
National Provider Identifier
1306833587
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2521 Issued in FL
Practice address
13241 Bartram Park Blvd
Suite 1809
Jacksonville, FL 32258-5227
Phone
(904) 268-3686
Fax
(904) 268-7718
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2521 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO2521 FL Primary

Addresses

Primary practice location

13241 Bartram Park Blvd
Suite 1809
Jacksonville, FL 32258-5227

Mailing address

13241 Bartram Park Blvd
Unit 1805
Jacksonville, FL 32258-5227
Phone (904) 224-2001

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080404000260 FL Practitioner - Podiatry 9436236197 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13241 Bartram Park Blvd
Unit 1809
Jacksonville, FL 32258-5227
Phone (904) 268-3686

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal302
Removal of tissue92
Removal of nail tissue529
Removal or shaving of skin growth242
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2521FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates of Florida Inc Podiatrist CurrentSince Nov 21, 2010 Accepting new patients
Florida Vein Care Specialists, LLC CurrentSince Jun 21, 2017 Accepting new patients
Florida Vein Care Specialists LLC CurrentSince Jun 21, 2017 Accepting new patients
Florida Foot and Ankle,Inc Foot & Ankle Surgery CurrentSince Jun 28, 2017 Accepting new patients
Podiatry Associates of Florida, Inc. Podiatrist Current Accepting new patients

Locations

3636 University Blvd S
Ste C
Jacksonville, FL 32216
Phone (904) 731-1711

13241 Bartram Park Blvd
Unit 1805
Jacksonville, FL 32258
Phone (904) 268-3686

5911 Timuquana Rd
Unit 300
Jacksonville, FL 32210
Phone (904) 778-3000

13171 Atlantic Blvd
Ste 200
Jacksonville, FL 32225

3117 Spring Glen Rd
Ste 402
Jacksonville, FL 32207
Phone (800) 341-5024

13241 Bartram Park Blvd
Unit 1809
Jacksonville, FL 32258
Phone (904) 268-3686

2955 Pineda Plaza Way
Ste 121
Melbourne, FL 32940
Phone (321) 252-3027

2140 Kingsley Ave
Ste 12
Orange Park, FL 32073
Phone (904) 272-7070

220 Southpark Cir E
St Augustine, FL 32086
Phone (904) 808-9950

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7464/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1306833587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD",
            "address_2": "UNIT 1805",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585227",
            "telephone_number": "904-224-2001",
            "fax_number": "904-224-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD",
            "address_2": "SUITE 1809",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585227",
            "telephone_number": "904-268-3686",
            "fax_number": "904-268-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEY",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2521",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.