MARK C. GILLESPY MD
NPI 1073592606
Orthopaedic Surgery in Daytona Beach, FL

Q: What is Mark Gillespy's NPI number?

The NPI number for Mark Gillespy is 1073592606. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Q: What is Mark Gillespy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Gillespy was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 January 12, 2006PECOS EnrolledAccepts Medicare Assignment

87.42/100

CMS Quality Rating

1865 LPGA BLVD, DAYTONA BEACH, FL 32117(386) 255-4596(386) 258-3561 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2024, Aug 9, 2019, Apr 25, 2018 (3 updates tracked since 2018).

On this page

About Mark C. Gillespy Md NPPES

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

MARK C. GILLESPY MD (NPI 1073592606) is an individual orthopaedic surgery provider in Daytona Beach, Florida, licensed in Florida (ME52207) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1073592606

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameMARK C. GILLESPYCredential: MD

Location Address1865 LPGA BLVDDaytona Beach, FL 32117-7108

Mailing Address1865 Lpga BlvdDaytona Beach, FL 32117-7108 · (386) 255-4596 · Fax (386) 258-3561

Phone(386) 255-4596

Fax(386) 258-3561

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1986

Enumeration DateJanuary 12, 2006

Last NPPES UpdateNovember 20, 20243 updates tracked since enumeration

NPPES CertifiedNovember 20, 2024

✔ NPI 1073592606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in FL · ME52207

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License ME52207 (FL)

1865 LPGA BLVD, Daytona Beach, FL 32117

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Secondary Practice Locations 5

Location 11890 Lpga Blvd Ste 240Daytona Beach, FL 32117-7131 · Phone (386) 255-4596 · Fax (386) 258-3561

Location 21165 Dunlawton Ave Ste 102Port Orange, FL 32127-2924 · Phone (386) 255-4596 · Fax (386) 258-3561

Location 317 Old Kings Rd N Ste KPalm Coast, FL 32137-8283 · Phone (386) 255-4596 · Fax (386) 258-3561

Location 41075 Mason AveDaytona Beach, FL 32117-4611 · Phone (386) 255-4596 · Fax (386) 258-3561

Location 51175 Dunlawton Ave Ste 1Port Orange, FL 32127-4741 · Phone (386) 255-4596 · Fax (386) 258-3561

Other Identifiers 2

Medicaid007651900FL

Medicaid370310000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark C. Gillespy 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 ID2062557333

PECOS Enrollment IDI20100311000352

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 Reassignment

Medicare enrollment records show Mark Gillespy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Clinic Of Daytona Beach PA

Same address

Orthopaedic Surgery

1865 LPGA BLVD
Daytona Beach, FL 32117

Reassigned Medicare billing, Florida enrollment
32 clinicians in this Medicare group

NPI 1558340240 (386) 255-4596

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

Areas of Expertise CMS Part B claims 25

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

424 services287 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

309 services122 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.

300 services229 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

196 services141 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

180 services125 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

178 services169 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

164 services95 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

143 services119 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

105 services105 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

91 services90 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.

90 services90 patients

X-ray of ankle, 2 views 73600

An X-ray of the ankle, 2 views, is a quick, painless test that produces images of the bones and joints in your ankle. Two different angles are used to provide a more complete picture. It helps detect fractures, sprains, arthritis, or other abnormalities. It's safe and typically takes only a few minutes.

70 services48 patients

X-ray of hip, 1 view 73501

An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.

68 services48 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

57 services45 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

48 services47 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

46 services45 patients

Computer-assisted, fluoroscopic image-guided musculoskeletal surgical navigational orthopedic operation 0054T

This is a high-tech procedure where a computer aids in navigating surgical instruments, using real-time images. It enhances precision during orthopedic operations, helping to protect surrounding tissues and improve outcomes. It's like GPS for surgery!

45 services45 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

41 services37 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.

39 services34 patients

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324

Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.

34 services11 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

29 services29 patients

X-ray of middle spine, 2 views 72070

An X-ray of the middle spine, or thoracic spine, involves capturing two different images of the area. This non-invasive procedure uses small amounts of radiation to visualize the bones and tissues in your back, helping to identify any abnormalities or injuries.

25 services13 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

23 services23 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

17 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100014

Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County

Emergency services

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100017

Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County

Emergency services Birthing friendly

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100068

Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County

Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100118

Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County

Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number100363

Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32117 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

87.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

79.31

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

98%1,268 patients4/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

69%696 patients4/55-star benchmark: 87%

Controlling High Blood Pressure

59%254 patients3/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

73%89 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%3,040 patients5/55-star benchmark: 100%

e-Prescribing

98%168 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

55%1,229 patients3/55-star benchmark: 100%

Osteoporosis Management in Women Who Had a Fracture

24%123 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

65%2,004 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

16%2,594 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 95% · 1,442 patients

Patients screened: 98% · 1,442 patients

61%128 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

81%745 patients4/55-star benchmark: 100%

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.03%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

74%595 patients4/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

85%254 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,285 patients

Patients totalRate: 1% · 1,285 patients

1%1,285 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

5 suppliers16 claims16 services$42.39 avg. paid by Medicare

Neuromuscular stimulator, electronic shock unit E0745

DME-Other DME · category DE000N

1 supplier11 claims11 services$70.37 avg. paid by Medicare

Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf L1830

DME-Orthotic Devices · category DF011N

3 suppliers17 claims17 services$47.99 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.

BRENT WILKINS PA-C

Physician Assistant