DR. MARIO ANTONIO JOHN (MD) – Orthopaedic Surgery Physician, NPI 1407012164

DR. MARIO ANTONIO JOHN (MD) is a healthcare provider. based in Winter park, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. ME118804 (FL). The NPI Number for DR. MARIO ANTONIO JOHN (MD) is 1407012164

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIO ANTONIO JOHN (MD)
NPI
1407012164
Phone
(407) 500-3627
Address
483 N SEMORAN BLVD
Enumeration Date
1 August 2008
Last Update Date
30 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8632845000
Graduation Year
2004 (22 years ago)
PAC ID
0143469460
Group Practice PAC ID
8325952914
Professional Enrollment ID
I20140905000346
Address ID
FL338037952LA3030XBLVD300

Contacts

Secure Messaging
mjohn28666@LRHS.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

1,916 ORTHOPEDIC SURGERY in FL

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Provider Addresses for DR. MARIO ANTONIO JOHN (MD)

  • 483 N SEMORAN BLVD

    STE 210

    WINTER PARK, FL 327923800

    Phone: (407) 500-3627

    Fax: (407) 930-4353

    Type: Mailing

  • Dr. Edward Stoner Way, Oviedo, Seminole County, Florida, 32765-8888, United States

    OVIEDO, FL 327657154

    Phone: (407) 500-3627

    Fax: (407) 930-4353

    Type: Location

  • 7440 Red Bug Lake Rd

    Oviedo, FL 327657154

    Phone: (407) 500-3627

    Fax: (407) 930-4353

    Type: Location

  • 255 Citrus Tower Blvd Ste 212

    Clermont, FL 347111906

    Phone: (407) 500-3627

    Fax: (407) 930-4353

    Type: Location

  • 600 W North Blvd

    Suite C

    Leesburg, FL 347485063

    Phone: (352) 728-3000

    Fax: (352) 728-2603

    Type: Location

  • 515 W State Road 434 Ste 301

    Longwood, FL 327505162

    Phone: (407) 500-3627

    Fax: (407) 930-4353

    Type: Location

  • 3030 HARDEN BLVD

    LAKELAND, FL 338037952

    Phone: (863) 687-1250

    Fax: (863) 687-1258

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Stryker Corporation ($101).

Total Amount

$128

General + Research + Ownership

Payments

4

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-09-05

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
I20140905000346IOrthopedic SurgeryFLTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg95278$0
99214Established patient office or other outpatient visit, 30-39 minutes266149$0
20610Aspiration and/or injection of fluid from large joint12181$0
99204New patient office or other outpatient visit, 45-59 minutes118118$0
73564X-ray of knee, 4 or more views6360$0
View full utilization report →

Insurance plans in this area (ZIP 32792)

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Provider's Procedures

DR. MARIO ANTONIO JOHN (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYFL73562X-ray of knee, 3 views7937
ORTHOPEDIC SURGERYFL97001Physical therapy evaluation10098

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: 8325952914View full group profile

Reviews

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Frequently asked questions

Can I verify DR. MARIO ANTONIO JOHN (MD) with an NPI only?
You can start verification with NPI 1407012164 for DR. MARIO ANTONIO JOHN (MD), then check state licensing separately.
Does the file indicate DR. MARIO ANTONIO JOHN (MD) is practicing under active NPI?
Directory data currently reports DR. MARIO ANTONIO JOHN (MD) as active.
What is DR. MARIO ANTONIO JOHN (MD)'s primary classification?
Orthopaedic Surgery Physician is the headline specialty for DR. MARIO ANTONIO JOHN (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MARIO ANTONIO JOHN (MD) on a map?
Expect Winter Park, Florida as a primary anchor for DR. MARIO ANTONIO JOHN (MD) unless the record lists multiple sites.
Why does DR. MARIO ANTONIO JOHN (MD) have multiple addresses?
8 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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