DR. MARK A. MATHURIN (MD) – Emergency Medicine Physician, NPI 1497853733

DR. MARK A. MATHURIN (MD) is a healthcare provider. based in Goodyear, Arizona. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 23700 (AZ). The NPI Number for DR. MARK A. MATHURIN (MD) is 1497853733

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK A. MATHURIN (MD)
NPI
1497853733
Phone
(623) 935-9494
Address
1325 N Litchfield Rd Ste 110
Enumeration Date
20 September 2006
Last Update Date
6 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
3023545471
Graduation Year
1994 (32 years ago)
PAC ID
0648268532
Group Practice PAC ID
5193948867
Professional Enrollment ID
I20040503001564
Address ID
AZ859017831SH2200XRDXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,260 FAMILY PRACTICE in AZ

Provider Addresses for DR. MARK A. MATHURIN (MD)

  • 1325 N Litchfield Rd Ste 110

    Goodyear, AZ 853951214

    Phone: (623) 935-9494

    Fax: (623) 935-9292

    Type: Location

  • 861, Southwest 78th Avenue, Plantation, Broward County, Florida, 33324, United States

    #100B

    PLANTATION, FL 333243273

    Phone: (954) 693-0000

    Fax: (954) 693-0005

    Type: Mailing

  • Tempe St. Luke Hospital, 1500, South Mill Avenue, Tempe Junction, Tempe, Maricopa County, Arizona, 85281, United States

    EMERGENCY DEPARTMENT

    TEMPE, AZ 852816699

    Phone: (480) 784-5533

    Fax: (480) 333-5197

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040503001564IFamily PracticeAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes233226$0
99291Critical care, first 30-74 minutes189177$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3520$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 85395)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193948867View full group profile
NameSpecialtyState
Family PracticeAZ
-AZ
Hospitalist, Infectious DiseaseAZ
Family PracticeAZ
Internal MedicineTX
Family PracticeAZ
Internal Medicine, HospitalistAZ
Internal MedicineFL
Internal MedicineMS
Internal Medicine, Geriatric Medicine, Hospice/Palliative CareAZ

Reviews

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Frequently asked questions

How do payers reference DR. MARK A. MATHURIN (MD)?
For DR. MARK A. MATHURIN (MD), use NPI 1497853733 as the unique 10-digit identifier.
Would DR. MARK A. MATHURIN (MD) appear as active to a payer?
You can treat DR. MARK A. MATHURIN (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. MARK A. MATHURIN (MD)?
DR. MARK A. MATHURIN (MD)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Arizona is DR. MARK A. MATHURIN (MD) registered?
Use Goodyear, Arizona as the headline location for DR. MARK A. MATHURIN (MD) here.
Can I trust this NPI listing for DR. MARK A. MATHURIN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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