DR. MARA JOSE FIORENTINO (MD) – Psychiatry Physician, NPI 1255444782

DR. MARA JOSE FIORENTINO (MD) is a healthcare provider. based in Destin, Florida. specializing in PSYCHIATRY, GERIATRIC PSYCHIATRY, NEUROPSYCHIATRY. They hold the professional credentials MD. They hold a License No. 99642 (FL). The NPI Number for DR. MARA JOSE FIORENTINO (MD) is 1255444782

Main info

Female
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARA JOSE FIORENTINO (MD)
NPI
1255444782
Phone
(850) 654-0054
Address
4507 FURLING LN
Enumeration Date
17 August 2006
Last Update Date
8 November 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8506540054
Graduation Year
1985 (41 years ago)
PAC ID
1254382013
Professional Enrollment ID
I20080417000282
Address ID
FL325415341DE4507XLNXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,954 PSYCHIATRY in FL

Provider Addresses for DR. MARA JOSE FIORENTINO (MD)

  • 4507 FURLING LN

    SUITE 110

    DESTIN, FL 325415328

    Phone: (850) 654-0054

    Fax: (850) 654-0093

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-09-15 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
JAZZ PHARMACEUTICALS INC.$125
View all Open Payments →|Open Payments Risk Radar →

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: 2008-04-17

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
I20080417000282IPsychiatryFLTBD

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
90838Psychotherapy with evaluation and management visit, 1 hour16424$0
99214Established patient office or other outpatient visit, 30-39 minutes15724$0
View full utilization report →

Insurance plans in this area (ZIP 32541)

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Provider's Procedures

DR. MARA JOSE FIORENTINO (MD) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYFL90833Psychotherapy, 30 minutes with patient and/or family member14845
PSYCHIATRYFL90836Psychotherapy, 45 minutes with patient and/or family member2518

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MARA JOSE FIORENTINO (MD)?
DR. MARA JOSE FIORENTINO (MD) — NPI 1255444782 — is the standard way to identify this listing.
Can I rely on DR. MARA JOSE FIORENTINO (MD) being an active provider?
As of the registry snapshot, DR. MARA JOSE FIORENTINO (MD) is marked active.
What taxonomy line describes DR. MARA JOSE FIORENTINO (MD)?
For research purposes, treat DR. MARA JOSE FIORENTINO (MD) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MARA JOSE FIORENTINO (MD)?
DR. MARA JOSE FIORENTINO (MD)'s geographic hint is Destin, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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