NPPES file of Aug 9, 2026

Wilmer Neptali Mata, M.D.

Surgery Physician · Miami, FL

Wilmer Neptali Mata, M.D. is a surgery physician with a practice address in Miami, Florida, and NPI 1104168509, issued on Mar 23, 2013. Check the license (Florida ME134812, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1104168509
Name
Wilmer Neptali Mata
Credential
M.D.
Primary taxonomy
Surgery Physician 208600000X
License number
ME134812 FL
Self-reported in NPPES; status is on the state search
Practice location
15955 SW 96TH St Ste 102, Miami, FL 33196
Phone
(786) 467-3435
Enumerated
Mar 23, 2013
Record last updated
Jul 11, 2019 (not updated in 7 years: call before relying on the address or phone)
Fax
(786) 533-9383
Medicare enrollment
Enrolled (PECOS I20190808002570); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 15955 SW 96TH St Ste 102

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Emily DavidePhysician Assistant1417602905
  2. Charly Escobar, APRNNurse Practitioner1629720719
  3. Michael Gonzalez Ramos, M.D.Surgery Physician1922331933
  4. Jessica Miller, APRNNurse Practitioner1942912449
  5. Carlos Moran MartinezNurse Practitioner1174830210
  6. Kaitlin Ross, MDFamily Medicine Physician1326468786

Verify Wilmer Neptali Mata in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license ME134812
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

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65% fewer Medicare Part D claims than the average surgery physician in 2024

51 Medicare Part D claims for 44 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. 43 claims were for opioids.

  1. Wilmer Mata51
  2. Specialty average147

Most prescribed

  1. Tramadol Hcl42 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 99.9 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score84.3
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $17,391.40

20 payments; by number, the most common kind was food and beverage; the largest payer was Intuitive Surgical, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Wilmer Mata$17,391
  2. Specialty average$3,514

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Baptist Health Medical Group Physicians LLCMiami, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Wilmer Neptali Mata among 1,887 surgery physician records in Florida

Wilmer Neptali Mata, M.D. is one of 1,887 surgery physician records with a practice address in Florida. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 73% of them.

  • NPI issued2013 · 73% of these records are older, 23% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 62% of these records are
  • Graduated2008 · median 2004 among the 1,170 with a school on file
  • Record last updated2019 · 50% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Surgery Physician providers in Florida

There are 1,887 surgery physician records in Florida.

The 8 surgery physician records with the nearest ZIP codes

  1. Michael Gonzalez Ramos, M.D.Miami, FL 331961922331933
  2. Rupa Seetharamaiah, MDMiami, FL 331961821291469
  3. Luis Serentill, M.D.Miami, FL 331851922050590
  4. Candace Fox, M.D.Miami, FL 331831497710909
  5. Roberto Fridman, M.D.Miami, FL 331831275567398
  6. Horatio Gordon, M.D.North Miami, FL 331811376957720
  7. Mark Altschuler, MDMiami, FL 331801285654434
  8. Humberto Basto, MDMiami, FL 331801942543160

Common questions

What is Wilmer Neptali Mata, M.D.'s NPI number?

Wilmer Neptali Mata, M.D.'s National Provider Identifier (NPI) is 1104168509, issued on Mar 23, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Wilmer Neptali Mata, M.D. located?

The NPPES record lists a practice address at 15955 SW 96TH St Ste 102, Miami, FL, 33196. Phone: (786) 467-3435. Providers update this record themselves, so call before visiting.

How can I verify Wilmer Neptali Mata, M.D.'s license?

NPPES lists Florida license number ME134812, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Wilmer Neptali Mata, M.D. prescribe under Medicare Part D?

In 2024, Wilmer Neptali Mata, M.D. had 51 Medicare Part D claims for 44 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.

What is Wilmer Neptali Mata, M.D.'s MIPS final score?

The 2023 MIPS final score is 99.9 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.