Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARK T DONVITO M.D.
NPI 1073564175
Emergency Medicine in Murphysboro, IL

Q: What is Mark Donvito's NPI number?

The NPI number for Mark Donvito is 1073564175. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Q: What is Mark Donvito's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Donvito was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.

Active since May 13, 2006PECOS Enrolled

2 S HOSPITAL DR, MURPHYSBORO, IL 62966(618) 684-3156(618) 529-0524 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Jan 11, 2021 (2 updates tracked since 2021).

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About Dr. Mark T Donvito M.d. NPPES

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

DR. MARK T DONVITO M.D. (NPI 1073564175) is an individual emergency medicine provider in Murphysboro, Illinois, licensed in Illinois (036-077356) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073564175

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. MARK T DONVITOCredential: M.D.

Location Address2 S HOSPITAL DRMurphysboro, IL 62966-3333

Mailing Address405 W Jackson StCarbondale, IL 62901-1462 · (800) 701-3381

Phone(618) 684-3156

Fax(618) 529-0524

Sole ProprietorNo

Enumeration DateMay 13, 2006

Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2021

✔ NPI 1073564175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036-077356

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2 S HOSPITAL DR, Murphysboro, IL 62966

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Secondary Practice Locations 2

Location 1201 S 14th StHerrin, IL 62948-3631 · Phone (618) 942-2171 · Fax (618) 351-4917

Location 2405 W Jackson StCarbondale, IL 62901-1462 · Phone (618) 549-0721 · Fax (618) 457-0469

Other Identifiers 2

Medicaid036077356-4IL

Medicaid1073564175KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark T Donvito M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Mark Donvito reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Illinois Medical Services, Nfp

1.4 mi

Internal Medicine

1239 E MAIN ST
Carbondale, IL 62901

Reassigned Medicare billing, Illinois enrollment
702 clinicians in this Medicare group

NPI 1770656837 (618) 457-5200

Pinckneyville Community Hospital

26 mi

Critical Access

5383 STATE ROUTE 154
Pinckneyville, IL 62274

Reassigned Medicare billing, Illinois enrollment
54 clinicians in this Medicare group

NPI 1689646523 (618) 357-2187

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62966 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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.

MOHAMMED GUBA M.D.

Hospitalist