MARK THOMAS EDGE PHD MD
NPI 1003899766
Radiology - Diagnostic Radiology in Gastonia, NC

Active since November 26, 2005PECOS EnrolledAccepts Medicare Assignment
92.56/100
CMS Quality Rating
620 SUMMIT CROSSING PL, STE 106, GASTONIA, NC 28054(704) 867-8021(704) 864-4606 Get Directions Write a Review

NPPES record last updated: August 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Thomas Edge Phd Md NPPES

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

MARK THOMAS EDGE PHD MD (NPI 1003899766) is an individual diagnostic radiology provider in Gastonia, North Carolina, licensed in North Carolina (200200890) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and is a graduate of University Of Alabama School Of Medicine (1994).

NPPES Registry Identity

NPI1003899766
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK THOMAS EDGECredential: PHD MD
Location Address620 SUMMIT CROSSING PL, STE 106Gastonia, NC 28054
Mailing Address620 Summit Crossing Pl, Ste 106Gastonia, NC 28054 · (704) 867-8021 · Fax (704) 864-4606
Fax(704) 864-4606
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1994
Enumeration DateNovember 26, 2005
Last NPPES UpdateAugust 23, 2010
NPI 1003899766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NC · 200200890
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 200200890 (NC)
620 SUMMIT CROSSING PL, Gastonia, NC 28054

Other Identifiers 11

Other7436626Aetna Ppo
Medicaid89132UHNC
Other3616445Aetna Hmo
Other132UHBlue Cross Blue Shield
Medicare ID-Type Unspecified2009580A
MedicaidN0089DSC
Other801319Partners
OtherD4988Medcost
Other560988142United Healthcare
OtherP00167818Railroad Medicare
Medicare UPINH27692

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 Thomas Edge Phd 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 ID2860468238
PECOS Enrollment IDI20040907001292
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 49

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
3,100 services18 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
275 services249 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
163 services160 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
129 services121 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
121 services120 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
102 services99 patients

Hospital Affiliations CMS Care Compare 3

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

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

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
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.

92.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.25
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
99%536 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
97%143 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

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

Physical Therapist
620 SUMMIT CROSSING PL, STE 305
GASTONIA, NC 28054
Radiology (Diagnostic Radiology)
620 SUMMIT CROSSING PL, STE 106
GASTONIA, NC 28054
Radiology (Diagnostic Radiology)
620 SUMMIT CROSSING PL, STE 106
GASTONIA, NC 28054
Radiology (Diagnostic Radiology)
620 SUMMIT CROSSING PL, STE 106
GASTONIA, NC 28054
Radiology (Vascular & Interventional Radiology)
620 SUMMIT CROSSING PL, STE 106
GASTONIA, NC 28054
Radiology (Diagnostic Radiology)
620 SUMMIT CROSSING PL, STE 106
GASTONIA, NC 28054
Physical Therapist
620 SUMMIT CROSSING PL, STE 305
GASTONIA, NC 28054
Radiology (Diagnostic Radiology)
620 SUMMIT CROSSING PL, STE 106
GASTONIA, NC 28054

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 Edge's NPI number?

The NPI number for Mark Edge is 1003899766. It was assigned to this individual provider in the NPPES registry on November 26, 2005.

Where is Mark Edge located?

Mark Edge practices at 620 Summit Crossing Pl Ste 106, Gastonia, NC 28054. The listed phone number is (704) 867-8021.

What is Mark Edge's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Edge enrolled in Medicare?

Yes. Mark Edge 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 Edge accept?

Health plans from Blue Cross and Blue Shield of NC list Mark Edge 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 Edge affiliated with any hospitals?

According to CMS data, Mark Edge is affiliated with Atrium Health Cleveland, Caromont Regional Medical Center and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Mark Edge was last updated on August 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.