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Active NPI 1093475246 Individual Practitioner Male Practitioner

Mario Antonio Diaz , PA-C

Physician Assistant • Patchogue, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mario Diaz, PA-C is a certified Physician Assistant practicing in Patchogue, NY. With approximately 5 years of clinical experience since completing medical education in 2021, Mario Diaz delivers high-quality medical care to the local community at 101 HOSPITAL RD.

Mario Diaz is affiliated with St. Joseph Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 Hospital Rd

Patchogue, NY 117724870

Telephone 6315759591
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Patchogue, NY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -2.7 yrs vs City Avg
City Avg: 7.7 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
81 Specialists

Practicing in Patchogue, NY (15701 Statewide)

Telehealth Adoption Rate
2.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
89.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Diaz (5 Years) 5 Yrs
Patchogue Specialty Average (7.7 Years) 7.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
44 44 $806.00 $114.65
99285 Emergency department visit for life threatening or functioning severity
28 28 $1211.00 $166.14
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs
12 12 $1074.00 $42.67

Medical Specialties & State Licenses

CMS Verified: 2022-01-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 027841

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

St. Joseph Hospital

4295 Hempstead Tpke, Bethpage, NY 117145713

Phone: 5165796000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Vaishali Mehta , MD

Internal Medicine - Critical Care Medicine

NPI 1013477132

Doctor of Medicine (M.D.)

Courtney Bofinger , PA

Physician Assistant

NPI 1013496579

Physician Assistant

Dr. Taha Siddiqui , MD

Internal Medicine

NPI 1013610849

Doctor of Medicine (M.D.)

Annette Pope-Morris , PA

Physician Assistant - Medical

NPI 1023070216

Physician Assistant

Carlos Kim

Student in an Organized Health Care Education/Training Program

NPI 1023469236
Meaghan Chou , PA-C

Physician Assistant

NPI 1033096565

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2022

Registered at 101 HOSPITAL RD, PATCHOGUE, NY 117724870 (Tel: 6315759591)

📍
Updated Business Mailing Address January 04, 2022

Registered at 20 HIGHLAND RD, BRENTWOOD, NY 117171609 (Tel: 6315759591)

👤
Provider Name / Credentials Updated January 04, 2022

Recorded as MARIO DIAZ, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 28, 2021

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: 1093475246
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2021
Last Update: January 17, 2022
Sole Proprietor: No

Mailing Address

20 Highland Rd

Brentwood, NY 117171609

Phone: 6315759591

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.