MARK FREDERIC MEDFORD M.D.
NPI 1033159041
Specialist in Pinehurst, NC

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
88.68/100
CMS Quality Rating
155 MEMORIAL DR, PINEHURST, NC 28374(910) 715-2164(910) 715-4493 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 2, 2024, Sep 26, 2024 (2 updates tracked since 2024).

About Mark Frederic Medford M.d. NPPES

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

MARK FREDERIC MEDFORD M.D. (NPI 1033159041) is an individual specialist in Pinehurst, North Carolina, licensed in North Carolina (009900299) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of Brody School Of Medicine At East Carolina University (1999).

NPPES Registry Identity

NPI1033159041
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMARK FREDERIC MEDFORDCredential: M.D.
Location Address155 MEMORIAL DRPinehurst, NC 28374-8710
Mailing AddressPo Box 3000Pinehurst, NC 28374-3000 · (910) 715-2164 · Fax (910) 715-4493
Fax(910) 715-4493
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 1999
Enumeration DateJune 7, 2006
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPI 1033159041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NC · 009900299
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

155 MEMORIAL DR, Pinehurst, NC 28374

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 Frederic Medford M.d. 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 ID7214947324
PECOS Enrollment IDI20060503000284
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
708 services248 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
179 services174 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
55 services55 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
33 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services30 patients

Hospital Affiliations CMS Care Compare

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

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.

88.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.59
Promoting Interoperability96
Improvement Activities40
Cost84.03

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$19.80 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers25 claims25 services$7.70 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$110.99 avg. paid by Medicare
Heavy duty wheelchair K0006
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$69.35 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.

Dietitian, Registered
155 MEMORIAL DR
PINEHURST, NC 28374
Emergency Medicine (Emergency Medical Services)
155 MEMORIAL DR
PINEHURST, NC 28374
Emergency Medicine (Emergency Medical Services)
155 MEMORIAL DR
PINEHURST, NC 28374
Nurse Anesthetist, Certified Registered
155 MEMORIAL DR
PINEHURST, NC 28374
Nurse Anesthetist, Certified Registered
155 MEMORIAL DR
PINEHURST, NC 28374
Psychiatry & Neurology (Neurology)
155 MEMORIAL DR
PINEHURST, NC 28374
Nurse Anesthetist, Certified Registered
155 MEMORIAL DR
PINEHURST, NC 28374
Anesthesiology
155 MEMORIAL DR
PINEHURST, NC 28374

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 Medford's NPI number?

The NPI number for Mark Medford is 1033159041. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Mark Medford located?

Mark Medford practices at 155 Memorial Dr, Pinehurst, NC 28374. The listed phone number is (910) 715-2164.

What is Mark Medford's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mark Medford enrolled in Medicare?

Yes. Mark Medford 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.

Is Mark Medford affiliated with any hospitals?

According to CMS data, Mark Medford is affiliated with Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Mark Medford was last updated on October 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.