Mariano De La Mata, M.D.
NPI 1396841623ActiveIndividual· Emergency Medicine· Windermere, FL
Emergency Medicine (M.D.) in Windermere, Florida, trained at West Virginia University School of Medicine (class of 2000). 469 Medicare patients in 2024, $50,604 paid; nearly all of their 303 Part D prescriptions were generic (94%).
Overview
| NPI | 1396841623 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 15, 2006 |
| Last updated in NPPES | Dec 18, 2025 |
| Certified by provider | Dec 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 14898A | WY |
| Emergency Medicine | 207P00000X | ME99936 | FL |
| Pediatrics | 208000000X | ME99936 | FL |
| Internal Medicine | 207R00000X | ME99936 | FL |
| Emergency Medicine | 207P00000X | 19293 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (FL); Practitioner - Emergency Medicine (TN); Practitioner - Emergency Medicine (TX); Practitioner - Emergency Medicine (WV); Practitioner - Emergency Medicine (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 469 |
|---|---|
| Services billed | 737 across 16 procedure codes |
| Paid by Medicare | $50,604 |
Part D prescriptions in 2024
| Prescriptions (claims) | 303 · 331 30-day fills |
|---|---|
| Patients | 218 |
| Total drug cost | $10,316 |
| Generic share | 94% of claims |
Education and affiliations
| Medical school | West Virginia University School of Medicine |
|---|---|
| Graduation year | 2000 |
| Medicare specialty | Emergency Medicine |
Medical groups
- Monongalia County General Hospital CompanyMorgantown, WV · 243 clinicians
- Mon Health Marion Neighborhood Hospital, Inc.Fairmont, WV · 36 clinicians
- Shi Keys LLCMarathon, FL · 20 clinicians
- Leesburg Regional Medical Center Physician Services LLCMount Dora, FL · 6 clinicians
Hospital affiliations
- Fishermen's Community HospitalMarathon, FL
- Mon Health MarionWhitehall, WV
- Mon Health Medical CenterMorgantown, WV
- Uf Health Leesburg HospitalLeesburg, FL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Emergency Medicine providers in Windermere
- 1952378929