MARK J. MAKHULI MD
NPI 1003847310
Urology in Charlotte, NC

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1225 HARDING PL, STE 3100, CHARLOTTE, NC 28204(704) 355-8686 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 54 more (57 updates tracked since 2018).

About Mark J. Makhuli Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK J. MAKHULI MD (NPI 1003847310) is an individual urology provider in Charlotte, North Carolina, licensed in North Carolina (200100574) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1003847310
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMARK J. MAKHULICredential: MD
Location Address1225 HARDING PL, STE 3100Charlotte, NC 28204-2826
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1995
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 15, 202457 updates tracked since enumeration
NPI 1003847310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NC · 200100574
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1225 HARDING PL, Charlotte, NC 28204

Secondary Practice Locations 4

Location 1441 McAlister Rd, Ste 1200Lincolnton, NC 28092-4126 · Phone (980) 212-6200
Location 21350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1255
Location 31021 Morehead Medical Dr, Ste 6100Charlotte, NC 28204-2990 · Phone (980) 442-2000
Location 41021 Morehead Medical Dr, Ste ACharlotte, NC 28204-2990 · Phone (980) 442-2000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark J. Makhuli Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416950415
PECOS Enrollment IDI20060811000354
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
250 services204 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
187 services161 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
134 services119 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
92 services81 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
43 services18 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers20 claims2,250 services$1.41 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers18 claims2,070 services$5.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Nurse Practitioner
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Internal Medicine (Infectious Disease)
1225 HARDING PL, STE 2100
CHARLOTTE, NC 28204
Nurse Practitioner
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Psychiatry & Neurology (Neurology)
1225 HARDING PL, STE 4100
CHARLOTTE, NC 28204
Physician Assistant
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Internal Medicine (Gastroenterology)
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Psychiatry & Neurology (Neurology)
1225 HARDING PL
CHARLOTTE, NC 28204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Makhuli's NPI number?

The NPI number for Mark Makhuli is 1003847310. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Mark Makhuli located?

Mark Makhuli practices at 1225 Harding Pl Ste 3100, Charlotte, NC 28204. The listed phone number is (704) 355-8686.

What is Mark Makhuli's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Mark Makhuli enrolled in Medicare?

Yes. Mark Makhuli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Makhuli accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Mark Makhuli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Makhuli affiliated with any hospitals?

According to CMS data, Mark Makhuli is affiliated with Carolinas Medical Center-Northeast, Atrium Health Cleveland, Atrium Health Pineville, Carolinas Medical Center/Behav Health and Atrium Health Union.

When was this NPI record last updated?

The NPPES record for Mark Makhuli was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.