Providers
MARK A MAZZARE, M.D.
NPI 1891769709, individual, Tyler, TX, Internal Medicine
1
Evidence tier
adjudicated in a public enforcement record
- Adjudicated (pleaded guilty) per a Department of Justice release dated December 16, 2024.
- Medicaid paid $79,337 in the last 12 observed months.
score 95 of 100, rank 159, $79K at stake
Public list actions
Medicare revocation effective December 23, 2024, barred from re-enrolling until December 23, 2034
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Internal Medicine, TX
OIG exclusion July 20, 2026 under section 1128a1
Physician (MD, DO), Internal Medicine, Seagoville, TX
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARK A MAZZARE, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | February 15, 2006, last updated October 24, 2023 |
| Practice location | 5380 OLD BULLARD RD STE 600-357, Tyler, TX 75703-3607, 888-316-5498 |
| Specialties | Internal Medicine (207R00000X, primary, license K3331 TX) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| T2046 | Medicaid service code | $79K | 69% | $3K | $4K (top 5% from $6K) | too few months to rank | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $24K | 21% | $6.16 | $14 (top 5% from $58) | 19th percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $7K | 6% | $32 | $21 (top 5% from $84) | 71st percentile | |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | $4K | 3% | $4.95 | $0.00 (top 5% from $89) | 69th percentile | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $848 | 1% | $40 | $30 (top 5% from $134) | too few months to rank | |
| 99318 | Medicaid service code | $90 | 0% | $2.14 | $18 (top 5% from $58) | too few months to rank | |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | $55 | 0% | $0.59 | $7.86 (top 5% from $34) | too few months to rank | |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | $0 | 0% | $0.00 | $5.75 (top 5% from $34) | too few months to rank |
In this area
6 providers in Smith County, TX carry an indicator in the public record, with $1.4M at stake between them. The most common is part of a provider network, on 5 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | UNICARE HOME HEALTH SERVICES OF TYLER, INC. Tyler, TX, ranked 1031 | $1.2M |
|
| 3 | THE CENTER AT GRANDE, LLC Tyler, TX, ranked 4385 | $0 |
|
| 3 | TRADITIONS HOSPICE OF TYLER, LLC Tyler, TX, ranked 5145 | $0 |
|
| 3 | AIDING HOME HEALTH, LLC Tyler, TX, ranked 6000 | $0 |
|
| 3 | TRADITIONS HEALTH CARE OF TYLER, LLC Tyler, TX, ranked 6272 | $0 |
|
| 4 | ZANA ELLIOTT Tyler, TX, ranked 9405 | $257K |
|
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementAug 26, 2026
Dallas medical clinic to pay $7.5 million to resolve COVID-19 testing overbilling allegations
Aymancare billed the federal government's HRSA Uninsured Program for separate evaluation and management services in addition to COVID-19 specimen collection and testing at pop-up testing sites when no such separate services were performed.
DOJConvictedAug 12, 2026
Scammer pharmacist guilty in $20 million healthcare kickback scheme
Thomas paid over $2 million in kickbacks to the owner of a Houston clinic in exchange for referrals of DOL-OWCP insured patients prescribed high-reimbursement compounded medications, which his pharmacy then billed to DOL-OWCP, receiving more than $20 million in reimbursements.
DOJIndictedJun 24, 2026
U.S. Attorney Announces Major Health Care Fraud Cases in Western District of Texas
Charles is alleged to have received illegal kickbacks for referring patients to San Antonio area hospice companies, causing over $9 million in Medicare claims, while Dr. Duncan settled allegations of billing Medicare and TRICARE for an unapproved amniotic-based product and Trevor's Place settled allegations of submitting inflated TRICARE claims for services not provided.
DOJIndictedJun 23, 2026
Nine charged in SDTX as part of national health care fraud takedown
Nine defendants were indicted in the Southern District of Texas for operating pill mill clinics and a pharmacy that unlawfully distributed controlled substances, billing Medicaid $16 million for mental health services for minors that did not occur, and billing Medicare and TRICARE approximately $906 million for medically unnecessary amniotic wound allografts procured through kickbacks.
DOJChargedJun 23, 2026
Northern District of Texas Charges 13 Health Care Fraudsters for Loss Over $360 Million
Thirteen defendants in the Northern District of Texas were charged in seven cases involving more than $365 million in fraudulent billing to federally-funded programs and other insurers, including laboratory and genetic testing claims procured through kickbacks, transcranial magnetic stimulation treatments billed to TRICARE, medically unnecessary EEG testing, and hospice services never provided.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.