Active NPI
Roy Carrington Mason Jr., D.O.
- Urology Physician
- Vero Beach, FL
National Provider Identifier
1306878764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- OS15210
- Practice address
- 3450 11TH CT Ste 303
Vero Beach, FL 32960 - Phone
- (772) 794-9771
- Fax
- (772) 794-9773
- NPI assigned
- Jul 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | OS15210 | FL | Primary |
Addresses
Primary practice location
3450 11TH CT Ste 303
Vero Beach, FL 32960
Mailing address
1000 36TH St
Vero Beach, FL 32960-4862
Phone (772) 567-4311
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340013731 | Other | TX | RAIL ROAD MEDICARE |
| 001465497 | Other | TX | UNITED HEALTH |
| 122060004 | Medicaid | TX | |
| 122060005 | Medicaid | TX | |
| 8301777005 | Other | TX | CIGNA |
| 8A9484 | Other | TX | BLUECROSS BLUESHIELD |
| 0957950 | Other | TX | AETNA |
| 122060006 | Medicaid | TX |
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180427000690 | FL | Practitioner - Urology | 2668374109 |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of North Texas HSC, College of Osteopathic Med, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 36TH St
Vero Beach, FL 32960-4862
Hospital & facility affiliations
- Pinnacle Home Care
- Cleveland Clinic Indian River Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS15210 | FL | MD | Urology Physician |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
- Home Health Agency
- Port St Lucie, FL
- NPI 1285191825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1306878764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 36TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604862",
"telephone_number": "772-567-4311",
"fax_number": "772-563-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 11TH CT STE 303",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32960",
"telephone_number": "772-794-9771",
"fax_number": "772-794-9773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "ROY",
"middle_name": "CARRINGTON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "OS15210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "340013731",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "001465497",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122060004",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122060005",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8301777005",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "8A9484",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0957950",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122060006",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.