DR. MOHAMMAD REZA MASTALI (M.D.) – Gastroenterology Physician, NPI 1689762924
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,475 GASTROENTEROLOGY in FL
Provider Addresses for DR. MOHAMMAD REZA MASTALI (M.D.)
10000 W Colonial Dr Ste 389
Ocoee, FL 347613433
Phone: (407) 822-1171
Fax: (407) 822-1172
Type: Location
105 PARK PLACE BLVD STE A
DAVENPORT, FL 338376870
Phone: (863) 419-2156
Type: Mailing
West Colonial Drive, Ocoee, Orange County, Florida, 34761, United States
OCOEE, FL 347613433
Phone: (407) 822-1171
Fax: (407) 822-1172
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $956.
Total Amount is formed as General ($956) + Research ($0) + Ownership ($0) = $956.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($316).
Total Amount
$956
General + Research + Ownership
Payments
45
Total payment records
General Amount
$956
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $316 |
| QOL Medical, LLC | $147 |
| Axonics, Inc. | $116 |
| Madrigal Pharmaceuticals | $76 |
| Regeneron Healthcare Solutions, Inc. | $51 |
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: 2007-04-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070411000138 | I | Gastroenterology | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 245 | 183 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 88 | 86 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 87 | 84 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 59 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 52 | 52 | $0 |
Insurance plans in this area (ZIP 34761)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Hospitalist, Internal Medicine | FL | |
| - | FL | |
| H O S P I T A L I S T | CA | |
| Hospitalist, Internal Medicine | FL | |
| - | FL |
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