NPIMap

Individual provider Active NPI

Samuel A Mason, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lady Lake, FL
National Provider Identifier
1801424288
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4509 Issued in FL
Practice address
11834 County Road 101 Ste 203
Lady Lake, FL 32162-9340
Phone
(352) 633-8230
Fax
(352) 633-8232
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X PO4509 FL Primary

Addresses

Primary practice location

11834 County Road 101 Ste 203
Lady Lake, FL 32162-9340

Mailing address

8867 SW 5Oth Ave
Ocala, FL 34476
Phone (636) 232-4164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718003937 FL Practitioner - Podiatry 0143641050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Shannon Floyd DPM PAGroup PAC ID 1355472093, 2 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

11834 County Rd
101 Suite 201
Lady Lake, FL 32162-9340
Phone (352) 633-8230

2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378

Hospital & facility affiliations

  • HCA Florida Healthcare at Home Home health agency, The Villages, FL, CCN 109581
  • Better @ Home Home health agency, The Villages, FL, CCN 108235
  • Concierge Home Care Home health agency, The Villages, FL, CCN 108320
  • Angels Care Home Health Home health agency, Clermont, FL, CCN 108236
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290
  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
76.64
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue192
Removal of skin lesions26
Removal of nail tissue25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Floyd DPM PA Foot & Ankle Surgery CurrentSince Jul 15, 2023 Accepting new patients
Vitreous and Retina Consultants, LLC PastSince Jul 15, 2023 Accepting new patients

Locations

11834 County Road 101
Ste 203
The Villages, FL 32162
Phone (352) 391-5900

11834 County Road 101
Ste 201
The Villages, FL 32162
Phone (352) 633-8230

Interoperability endpoints

  • Direct secure messaging: smason640258@direct.shands.ufl.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1801424288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8867 SW 5OTH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34476",
            "telephone_number": "636-232-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11834 COUNTY ROAD 101 STE 203",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321629340",
            "telephone_number": "352-633-8230",
            "fax_number": "352-633-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "SAMUEL",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.