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DR. MARK E FRANKE MD
NPI 1114934650
Family Medicine in Fairfax, VA

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
3650 JOSEPH SIEWICK DR STE 101, FAIRFAX, VA 22033(703) 391-2020(703) 391-1211 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2023, May 22, 2023, Nov 10, 2022 and 6 more (9 updates tracked since 2020).

About Dr. Mark E Franke Md NPPES

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

DR. MARK E FRANKE MD (NPI 1114934650) is an individual family medicine provider in Fairfax, Virginia, licensed in Virginia (0101054215) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of New York Medical College (1993).

NPPES Registry Identity

NPI1114934650
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK E FRANKECredential: MD
Location Address3650 JOSEPH SIEWICK DR STE 101Fairfax, VA 22033-1700
Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (571) 423-5699
Phone(703) 391-2020
Fax(703) 391-1211
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1993
Enumeration DateAugust 1, 2006
Last NPPES UpdateAugust 21, 20239 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1114934650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101054215
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License ME144634 (FL), 305644 (NY)
3650 JOSEPH SIEWICK DR STE 101, Fairfax, VA 22033
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Secondary Practice Locations 3

Location 1500 Hospital DrWarrenton, VA 20186-3027 · Phone (540) 349-0595
Location 2550 1st AveNew York, NY 10016-6402 · Phone (212) 263-3293 · Fax (212) 263-3522
Location 33650 Joseph Siewick Dr Ste 400Fairfax, VA 22033-1715 · Phone (703) 391-2020 · Fax (703) 391-1211

Other Identifiers 2

Medicaid006090648VA
Medicaid010096511VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Dr. Mark E Franke 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 ID5395738017
PECOS Enrollment IDI20040507000293, I20201204002148
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

9

Medicare enrollment records show Mark Franke reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fair Oaks Emergency Physicians, PLLC
0.1 mi
Emergency Medical Services
3600 JOSEPH SIEWICK DR
Fairfax, VA 22033
  • Reassigned Medicare billing, District of Columbia enrollment
  • 71 clinicians in this Medicare group
NPI 1649203605 (703) 391-3996
Inova Physician Partners, LLC
2.8 mi
Family Medicine
3914 CENTREVILLE RD, SUITE 250
Chantilly, VA 20151
  • Reassigned Medicare billing, District of Columbia enrollment
  • 379 clinicians in this Medicare group
NPI 1215264916 (703) 321-2609
Inova Ucc LLC
6.2 mi
Urgent Care
180 MAPLE AVE W
Vienna, VA 22180
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 146 clinicians in this Medicare group
NPI 1508592114 (571) 363-3539
Inova Health Care Services
6.3 mi
Urgent Care
100 MAPLE AVE E
Vienna, VA 22180
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Also billed through NPI 1669511051 (District of Columbia)
  • 160 clinicians in this Medicare group
NPI 1275886418 (703) 938-5300
Privia Medical Group, LLC
14 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850
Virginia Emergency Medicine Assoicates, Ltd
26 mi
Emergency Medical Services
500 HOSPITAL DR, EMERGENCY DEPARTMENT
Warrenton, VA 20186
  • Reassigned Medicare billing, Virginia enrollment
  • 60 clinicians in this Medicare group
NPI 1700988664 (540) 349-0504
Privia Medical Group Of Georgia LLC
545 mi
Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
NPI 1013313857 (770) 460-4285
Privia Medical Group Florida, LLC
766 mi
General Practice
140 6TH AVE
Indialantic, FL 32903
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Health First Privia Medical Group
  • 329 clinicians in this Medicare group
NPI 1700649043 (321) 312-3501
New York University
864 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York and Virginia enrollments
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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 6

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.
92 services87 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.
20 services20 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.
19 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services19 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
16 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22033 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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 Franke's NPI number?

The NPI number for Mark Franke is 1114934650. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Mark Franke located?

Mark Franke practices at 3650 Joseph Siewick Dr Ste 101, Fairfax, VA 22033. The listed phone number is (703) 391-2020.

What is Mark Franke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Franke enrolled in Medicare?

Yes. Mark Franke 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.

Which organizations bill Medicare for Mark Franke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Franke reassigns Medicare benefits to 9 organizations: Fair Oaks Emergency Physicians, PLLC (Fairfax, VA), Inova Physician Partners, LLC (Chantilly, VA), Inova Ucc LLC (Vienna, VA), Inova Health Care Services (Vienna, VA), Privia Medical Group, LLC (Arlington, VA) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Franke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Franke accept?

Health plans from Oscar Health list Mark Franke 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.

When was this NPI record last updated?

The NPPES record for Mark Franke was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.