Mark Mousa, MD
NPI 1104497684ActiveIndividual· Family Medicine· Victorville, CA
Family Medicine (MD) with Providence Medical Foundation, practicing in Victorville, California. Their prescriptions cost Medicare Part D more than their services did: $54,814 for 522 claims, against $13,684 paid for services in 2024. Lilly USA, LLC reported $29.94 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1104497684 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 7, 2021 |
| Last updated in NPPES | Aug 1, 2024 |
| Certified by provider | Jul 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A195563 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 56 |
|---|---|
| Services billed | 129 across 23 procedure codes |
| Paid by Medicare | $13,684 |
Part D prescriptions in 2024
| Prescriptions (claims) | 522 · 877 30-day fills |
|---|---|
| Patients | 109 |
| Total drug cost | $54,814 |
| Generic share | 80% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Providence Medical FoundationVictorville, CA · 1,466 clinicians
Other facilities
- Providence Home Health High DesertHome health agency · Hesperia, CA
Industry payments (Open Payments)
- 2024$29.94 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $29.94 | 1 |
What the 2024 payments were for
- Food and Beverage$29.94 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 58 family medicine physicians in Victorville · All family medicine physicians in California