MARK PHILIP CHELTENHAM M.D.
NPI 1114027588
Psychiatry & Neurology - Psychiatry in Raleigh, NC

Q: What is Mark Cheltenham's NPI number?

The NPI number for Mark Cheltenham is 1114027588. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Mark Cheltenham's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Mark Cheltenham was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 25, 2006PECOS EnrolledAccepts Medicare Assignment

3019 FALSTAFF RD, RALEIGH, NC 27610(919) 761-8693 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2026, Jul 8, 2026, Mar 7, 2023 and 1 more (4 updates tracked since 2019).

On this page

About Mark Philip Cheltenham M.d. NPPES

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

MARK PHILIP CHELTENHAM M.D. (NPI 1114027588) is an individual psychiatry provider in Raleigh, North Carolina, licensed in North Carolina (2007-00205) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (2002).

NPPES Registry Identity

NPI1114027588

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameMARK PHILIP CHELTENHAMCredential: M.D.

Location Address3019 FALSTAFF RDRaleigh, NC 27610-1812

Mailing Address3020 Falstaff RdRaleigh, NC 27610-1813 · (919) 341-7182

Phone(919) 761-8693

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 2002

Enumeration DateSeptember 25, 2006

Last NPPES UpdateAugust 4, 20264 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1114027588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in NC · 2007-00205✔ Licensed in PA · MD425741

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

3019 FALSTAFF RD, Raleigh, NC 27610

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Other Identifiers 4

Other58606Board Certification Abpn

Medicaid5911546NC

Other2007-00205NC · State License

OtherMD425741PA · License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc 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 Philip Cheltenham M.d. 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 ID9133121601

PECOS Enrollment IDI20100420000797

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 Cheltenham reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Holly Hill Hospital LLC

Same address

Psychiatric Hospital

3019 FALSTAFF RD
Raleigh, NC 27610

Reassigned Medicare billing, North Carolina enrollment
33 clinicians in this Medicare group

NPI 1518037233 (919) 250-7000

Garner Behavioral Hospital, LLC

7.3 mi

Adult Mental Health

3200 WATERFIELD DR
Garner, NC 27529

Reassigned Medicare billing, North Carolina enrollment
42 clinicians in this Medicare group

NPI 1548049679 (888) 603-0020

Novant Medical Group, Inc.

7.4 mi

Cardiovascular Disease

3100 DURALEIGH RD
Raleigh, NC 27612

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Novant Health Medical Group, LLC
2,998 clinicians in this Medicare group

NPI 1104154152 (919) 232-0050

Triangle Springs Physician Group, LLC

8.3 mi

Neurology

1350 SUNDAY DR STE 109
Raleigh, NC 27607

Reassigned Medicare billing, North Carolina enrollment
38 clinicians in this Medicare group

NPI 1184298408 (919) 852-0996

Nhcs Physicians Inc

43 mi

Physician Assistant

2460 CURTIS ELLIS DRIVE
Rocky Mount, NC 27804

Reassigned Medicare billing, North Carolina enrollment
205 clinicians in this Medicare group

NPI 1003028630 (252) 443-8540

Forsyth Memorial Hospital, Inc.

75 mi

Endocrinology, Diabetes & Metabolism

1941 NEW GARDEN RD STE 216
Greensboro, NC 27410

Reassigned Medicare billing, North Carolina enrollment
1,202 clinicians in this Medicare group

NPI 1124522933 (336) 992-1351

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

260 services62 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

89 services33 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

32 services32 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

29 services26 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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.

JENNIFER METZGER LCSW

Social Worker (Clinical)