DR. MASON MANDY (M.D.) – Family Medicine Physician, NPI 1598924029

DR. MASON MANDY (M.D.) is a healthcare provider. based in West bloomfield, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 48189 (TN). The NPI Number for DR. MASON MANDY (M.D.) is 1598924029

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. MASON MANDY (M.D.)
NPI
1598924029
Phone
(248) 855-5355
Address
7125 ORCHARD LAKE RD
Enumeration Date
9 June 2008
Last Update Date
11 January 2018

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
8666072308
Graduation Year
2005 (21 years ago)
PAC ID
0648430546
Group Practice PAC ID
9133578446
Professional Enrollment ID
I20231214003942
Address ID
AZ850164876PH2222XAVEX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,166 GENERAL SURGERY in FL

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Provider Addresses for DR. MASON MANDY (M.D.)

  • Orchard Lake Road, West Bloomfield Township, Oakland County, Michigan, 48334, United States

    STE 120

    WEST BLOOMFIELD, MI 483223627

    Phone: (248) 855-5355

    Fax: (248) 855-5455

    Type: Mailing

  • Southwest 160th Avenue, Miramar, Broward County, Florida, 33027-4145, United States

    SUITE 250

    MIRAMAR, FL 330276308

    Phone: (877) 866-7123

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $676.

Total Amount is formed as General ($676) + Research ($0) + Ownership ($0) = $676.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Tactile Systems Technology Inc ($389).

Total Amount

$676

General + Research + Ownership

Payments

19

Total payment records

General Amount

$676

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2024-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20170522001925IGeneral SurgeryNYTBD
I20230202002565IGeneral SurgeryCTTBD
I20231214003942IGeneral SurgeryAZTBD
I20240520001900IGeneral SurgeryTXTBD

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
99212Established patient office or other outpatient visit, 10-19 minutes14755$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers10750$0
93970Ultrasound study of arm or leg veins with compression and maneuvers9578$0
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance6237$0
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidance5234$0
View full utilization report →

Insurance plans in this area (ZIP 48322)

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Provider's Procedures

DR. MASON MANDY (M.D.) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYFL11042Removal of skin and tissue first 20 sq cm or less648112

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: 9133578446View full group profile
NameSpecialtyState
Vascular Surgery, Family PracticeGA
Emergency MedicineMI
Internal MedicineAZ

Reviews

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Frequently asked questions

Can I verify DR. MASON MANDY (M.D.) with an NPI only?
You can start verification with NPI 1598924029 for DR. MASON MANDY (M.D.), then check state licensing separately.
Is DR. MASON MANDY (M.D.) listed as active for patients and plans?
The listing shows DR. MASON MANDY (M.D.) as active in the NPI system.
What taxonomy line describes DR. MASON MANDY (M.D.)?
For research purposes, treat DR. MASON MANDY (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. MASON MANDY (M.D.) serve?
DR. MASON MANDY (M.D.)'s listing highlights West Bloomfield, Michigan; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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