MARK LEGA MD
NPI 1033170329
Internal Medicine - Critical Care Medicine in Pittsburgh, PA

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
100 S JACKSON AVE, 3RD FLOOR, PITTSBURGH, PA 15202(412) 322-7202(412) 322-2144 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 24, 2025, Nov 16, 2023, Oct 7, 2020 (3 updates tracked since 2020).

About Mark Lega Md NPPES

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

MARK LEGA MD (NPI 1033170329) is an individual critical care medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD035879E) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of Northwestern University Feinberg Medical School (1983).

NPPES Registry Identity

NPI1033170329
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameMARK LEGACredential: MD
Location Address100 S JACKSON AVE, 3RD FLOORPittsburgh, PA 15202-3428
Mailing Address4 Allegheny Ctr Fl 7Pittsburgh, PA 15212-5227 · (412) 359-6656
Fax(412) 322-2144
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1983
Enumeration DateMarch 28, 2006
Last NPPES UpdateFebruary 24, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
NPI 1033170329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in PA · MD035879E
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MD035879E (PA)
100 S JACKSON AVE, Pittsburgh, PA 15202

Other Identifiers 2

Medicaid0073749000WV
Medicaid001245471007PA

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 Lega 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 ID1658543251
PECOS Enrollment IDI20111004000074
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
118 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.
19 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15202 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers19 claims19 services$26.32 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers13 claims78 services$12.59 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers15 claims15 services$42.61 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers12 claims12 services$15.29 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers25 claims145 services$1.46 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
7 suppliers11 claims11 services$9.37 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.

Physical Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202
Occupational Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202
Occupational Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202
Physical Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202
Physical Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202
Physician Assistant (Medical)
100 S JACKSON AVE
PITTSBURGH, PA 15202
Occupational Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202
Clinic/Center (Radiology)
100 S JACKSON AVE
PITTSBURGH, PA 15202

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 Lega's NPI number?

The NPI number for Mark Lega is 1033170329. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Mark Lega located?

Mark Lega practices at 100 S Jackson Ave 3rd Floor, Pittsburgh, PA 15202. The listed phone number is (412) 322-7202.

What is Mark Lega's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Mark Lega enrolled in Medicare?

Yes. Mark Lega 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 Lega affiliated with any hospitals?

According to CMS data, Mark Lega is affiliated with Allegheny General Hospital, Jefferson Hospital and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Mark Lega was last updated on February 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.