Mason H Hicks, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111053 Issued in FL

Practice address

5147 N 9TH Ave Ste 103
Pensacola, FL 32504-8770

Phone

(850) 494-9000

Fax

(850) 416-1912

NPI assigned

Jul 6, 2010

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Grand Strand Specialty Associates, LLCGroup PAC ID 0648451344, 29 clinicians

North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
• HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231
• Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085

Merit-based Incentive Payment System (MIPS)

Final score

85.55 of 100Reported as group

Quality

73.67

Promoting interoperability

99

Improvement activities

40

Cost

78.99

Merit-based Incentive Payment System (MIPS)

Final score

97.8 of 100Reported as group

Quality

93.19

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

81.01 of 100Reported as group

Quality

62.34

Promoting interoperability

95

Improvement activities

40

Cost

78.51

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mason.hicks.1@9109.direct.athenahealth.com

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.

• Baptist Medical Group LLC

  • Hematology & Oncology Physician
  • Pensacola, FL
  • NPI 1376779892
  Medicare reassignment Care Compare group NPD
• North Florida Surgeons, PA

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1912953290
  Medicare reassignment Care Compare group NPD
• Grand Strand Specialty Associates, LLC

  • Orthopaedic Surgery Physician
  • Myrtle Beach, SC
  • NPI 1821398512
  Medicare reassignment Care Compare group
• Pensacola Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Pensacola, FL
  • NPI 1801841473
  Medicare reassignment NPD
• Baptist Medical Group LLC

  • Orthopaedic Surgery Physician
  • Pensacola, FL
  • NPI 1629749692
  NPD
• North Florida Surgeons, PA

  • Orthopaedic Surgery Physician
  • Gulf Breeze, FL
  • NPI 1871442053
  NPD
• Carolina Orthopaedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Murrells Inlet, SC
  • NPI 1861461592
  NPD (past)

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

• Baptist Health Care, Inc.

  • General Acute Care Hospital
  • Gulf Breeze, FL
  • NPI 1972664530
  Care Compare affiliation
• West Florida Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1639116726
  Care Compare affiliation
• Grand Strand Regional Medical Center LLC

  • General Acute Care Hospital
  • Myrlte Beach, SC
  • NPI 1083668669
  Care Compare affiliation

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1851603062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 FAIRNIE AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325035313",
            "telephone_number": "843-822-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 N 9TH AVE STE 103",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048770",
            "telephone_number": "850-494-9000",
            "fax_number": "850-416-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "MASON",
        "middle_name": "H",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "MPA1559",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0242695-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICAL LICENSE",
            "identifier": "PA9111053",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Exurepha Bashawn Hicks, C.N.A.
• James Taylor Hicks
• Katie Hicks
• Katlyn Sarah Hicks, LCSW
• Lindsey Hicks, MSN
• Randall S Hicks, FNP-C
• Rilee Hicks, RBT
• Stephanie M Hicks I, PCA
• Ailen Hidalgo Gonzalez
• Tara Catharine Hiestand

• Physician Assistant in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.