MARK J PIRWITZ MD, FACC
NPI 1063436152
Internal Medicine - Interventional Cardiology in Austin, TX

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
74.65/100
CMS Quality Rating
1301 W 38TH ST, SUITE 400, AUSTIN, TX 78705(512) 324-3440(512) 406-6513 Get Directions Write a Review

NPPES record last updated: December 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark J Pirwitz Md, Facc NPPES

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

MARK J PIRWITZ MD, FACC (NPI 1063436152) is an individual interventional cardiology provider in Austin, Texas, licensed in Texas (H8328) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1989).

NPPES Registry Identity

NPI1063436152
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameMARK J PIRWITZCredential: MD, FACC
Location Address1301 W 38TH ST, SUITE 400Austin, TX 78705-1000
Mailing Address1400 N Ih 35, Suite 300Austin, TX 78701-1926 · (512) 324-8300 · Fax (512) 324-8301
Fax(512) 406-6513
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1989
Enumeration DateJuly 26, 2006
Last NPPES UpdateDecember 12, 2014
NPI 1063436152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in TX · H8328
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License H8328 (TX)
1301 W 38TH ST, Austin, TX 78705

Other Identifiers 11

Medicare PINTXB117659TX
Other8ET167TX · Bcbs
Medicare UPINF42578
Medicare PINTXB117113TX
Medicare PIN328502YL9XTX
Other8CN827TX · Bcbstx
Medicaid128400210TX
Medicaid128400211TX
Medicaid128400208TX
Medicaid128400209TX
Medicare PIN328502YMGJTX

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 Pirwitz Md, Facc 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 ID7214967736
PECOS Enrollment IDI20110302000865
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 15

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
299 services257 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.
264 services221 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
90 services84 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.
47 services47 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
39 services38 patients
Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460
This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.
39 services39 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Ascension Seton Southwest

Acute Care Hospitals · Austin, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450865
Location7900 Fm 1826Austin, TX 78737 · Hays County
Emergency services

Ascension Seton Highland Lakes

Critical Access Hospitals · Burnet, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451365
Location3201 S Water StBurnet, TX 78611 · Burnet County
Emergency services

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670041
Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

74.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.04
Promoting Interoperability100
Improvement Activities40
Cost33.48

Reported Quality Measures

Breast Cancer Screening
28%164 patients2/55-star benchmark: 93%
Cervical Cancer Screening
27%71 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
7%73 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
26%489 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
76%471 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
80%51 patients4/55-star benchmark: 99%
Diabetes: Eye Exam
5%85 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
76%85 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%1,133 patients4/55-star benchmark: 100%
e-Prescribing
98%405 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
22%649 patients1/55-star benchmark: 100%
HIV Screening
4%280 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%839 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
82%786 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%362 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 633 patients
Patients screened: 99% · 633 patients
67%61 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
90%265 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%563 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 654 patients
Patients totalRate: 3% · 657 patients
3%657 patients4/55-star benchmark: 100%
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 20

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

Specialist
1301 W 38TH ST, SUITE 601
AUSTIN, TX 78705
Internal Medicine (Cardiovascular Disease)
1301 W 38TH ST, SUITE 705
AUSTIN, TX 78705
Orthopaedic Surgery
1301 W 38TH ST, STE 102
AUSTIN, TX 78705
Obstetrics & Gynecology
1301 W 38TH ST, SUITE 300
AUSTIN, TX 78705
Social Worker (Clinical)
1301 W 38TH ST
AUSTIN, TX 78705
Internal Medicine (Infectious Disease)
1301 W 38TH ST, SUITE 403
AUSTIN, TX 78705
Internal Medicine
1301 W 38TH ST, #205
AUSTIN, TX 78705
Internal Medicine (Clinical Cardiac Electrophysiology)
1301 W 38TH ST, SUITE 400
AUSTIN, TX 78705

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 Pirwitz's NPI number?

The NPI number for Mark Pirwitz is 1063436152. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Mark Pirwitz located?

Mark Pirwitz practices at 1301 W 38th St Suite 400, Austin, TX 78705. The listed phone number is (512) 324-3440.

What is Mark Pirwitz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Mark Pirwitz enrolled in Medicare?

Yes. Mark Pirwitz 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 Pirwitz accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Mark Pirwitz 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 Pirwitz affiliated with any hospitals?

According to CMS data, Mark Pirwitz is affiliated with Ascension Seton Medical Center Austin, Ascension Seton Southwest, Ascension Seton Highland Lakes and Ascension Seton Williamson.

When was this NPI record last updated?

The NPPES record for Mark Pirwitz was last updated on December 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.