MARK THETFORD
NPI 1104335660
Nurse Anesthetist, Certified Registered in Fort Myers, FL

Active since September 27, 2017Accepts Medicare Assignment
85.73/100
CMS Quality Rating
13681 DOCTORS WAY, FORT MYERS, FL 33912(239) 343-1000 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Nov 17, 2017 (2 updates tracked since 2017).

About Mark Thetford NPPES

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

MARK THETFORD (NPI 1104335660) is an individual nurse anesthetist, certified registered in Fort Myers, Florida, licensed in Florida (ARNP9397749) and active in the NPI registry since September 2017. He is affiliated with Gulf Coast Medical Center Lee Health, maintains a secondary practice location in Fort Myers, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1104335660
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMARK THETFORD
Location Address13681 DOCTORS WAYFort Myers, FL 33912-4300
Mailing Address11131 Everblades PkwyEstero, FL 33928-9546 · (618) 889-8220
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 27, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1104335660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in FL · ARNP9397749
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN9397749 (FL)
13681 DOCTORS WAY, Fort Myers, FL 33912

Secondary Practice Location 1

Location 113681 Doctors WayFort Myers, FL 33912-4300 · Phone (239) 343-1000

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 Thetford 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 ID9133487143
PECOS Enrollment IDI20171221000477, I20231120002355

Areas of Expertise CMS Part B claims 3

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.

Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
16 services16 patients
Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
16 services16 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.85
Improvement Activities40

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.

Registered Nurse
13681 DOCTORS WAY
FORT MYERS, FL 33912
Emergency Medicine
13681 DOCTORS WAY
FT MYERS, FL 33912
Emergency Medicine
13681 DOCTORS WAY
FORT MYERS, FL 33912
Nurse Anesthetist, Certified Registered
13681 DOCTORS WAY
FORT MYERS, FL 33912
Registered Nurse
13681 DOCTORS WAY
FORT MYERS, FL 33912
Emergency Medicine
13681 DOCTORS WAY
FORT MYERS, FL 33912
Nurse Anesthetist, Certified Registered
13681 DOCTORS WAY
FORT MYERS, FL 33912
Psychiatry & Neurology (Neurology)
13681 DOCTORS WAY
FORT MYERS, FL 33912

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 Thetford's NPI number?

The NPI number for Mark Thetford is 1104335660. It was assigned to this individual provider in the NPPES registry on September 27, 2017.

Where is Mark Thetford located?

Mark Thetford practices at 13681 Doctors Way, Fort Myers, FL 33912. The listed phone number is (239) 343-1000.

What is Mark Thetford's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Mark Thetford enrolled in Medicare?

Yes. Mark Thetford 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 Thetford accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Mark Thetford 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 Thetford affiliated with any hospitals?

According to CMS data, Mark Thetford is affiliated with Gulf Coast Medical Center Lee Health and Memorial Hospital Of Carbondale.

When was this NPI record last updated?

The NPPES record for Mark Thetford was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.