Active NPI
Mark Andrew Matey, DPM
- Foot & Ankle Surgery Podiatrist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO2521
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 302 |
| Removal of tissue | 92 |
| Removal of nail tissue | 529 |
| Removal or shaving of skin growth | 242 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO2521 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry Associates of Florida Inc | Podiatrist | Current | Accepting new patients |
| Florida Vein Care Specialists, LLC | Current | Accepting new patients | |
| Florida Vein Care Specialists LLC | Current | Accepting new patients | |
| Florida Foot and Ankle,Inc | Foot & Ankle Surgery | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Jacksonville, FL
- NPI 1245751692
-
- Vascular Surgery Physician
- Winter Park, FL
- NPI 1467795286
-
- Foot & Ankle Surgery Podiatrist
- Clearwater, FL
- NPI 1255432746
-
- Vascular Surgery Physician
- Davenport, FL
- NPI 1689917445
-
- Podiatrist
- Jacksonville, FL
- NPI 1417137183
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.