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Active NPI 1295133197 Individual Practitioner Male Practitioner

Michael Mazzoni , PA-C

Physician Assistant • Saint Johns, FL

Professional Overview & Biography Verified Profile Summary

Michael Mazzoni, PA-C is a registered healthcare professional specializing in Physician Assistant in Saint Johns, FL. Practice services are available at 200 LEESE DR under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, injection, ketorolac tromethamine, per 15 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 Leese Dr

Saint Johns, FL 322596967

Telephone 2102435456

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Saint Johns, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Saint Johns, FL (10376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
34 34 $300.00 $133.70
J1885 Injection, ketorolac tromethamine, per 15 mg
30 11 $20.00 $0.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
25 20 $45.00 $13.49
81003 Automated urinalysis test
13 13 $21.00 $2.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 12 $183.00 $88.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $197.00 $87.56

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX 1123046

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 09, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2014

Registered at 200 LEESE DR, SAINT JOHNS, FL 322596967 (Tel: 2102435456)

📍
Updated Business Mailing Address December 09, 2014

Registered at 200 LEESE DR, SAINT JOHNS, FL 322596967 (Tel: 2102435456)

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Provider Name / Credentials Updated December 09, 2014

Recorded as MICHAEL MAZZONI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2014

Physician Assistant (License #1123046 in TX)

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Initial NPI Registration & Enumeration December 09, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295133197
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2014
Last Update: December 09, 2014
Sole Proprietor: Yes

Mailing Address

200 Leese Dr

Saint Johns, FL 322596967

Phone: 2102435456

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.