DR. MARK A KONTOS MD
NPI 1114938990
Ophthalmology in Palm Beach Gardens, FL
About Dr. Mark A Kontos Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK A KONTOS MD (NPI 1114938990) is an individual ophthalmology provider in Palm Beach Gardens, Florida, licensed in Florida (ME169325) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Accepted 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 A Kontos 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mark Kontos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Palm Beach Gardens, FL 33418
- Reassigned Medicare billing, Florida enrollment
- 3,639 clinicians in this Medicare group
Coeur D Alene, ID 83814
- Reassigned Medicare billing, Idaho and Washington enrollments
- Medicare enrollment name: Sight Partners Physicians PC
- Also billed through NPI 1255005526 (Washington)
- 5 clinicians in this Medicare group
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 12
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PALM BEACH GARDENS, FL 33418
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 Kontos's NPI number?
The NPI number for Mark Kontos is 1114938990. It was assigned to this individual provider in the NPPES registry on August 10, 2006.
Where is Mark Kontos located?
Mark Kontos practices at 7101 Fairway Dr, Palm Beach Gardens, FL 33418. The listed phone number is (561) 355-8974.
What is Mark Kontos's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Mark Kontos enrolled in Medicare?
Yes. Mark Kontos 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 Kontos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Kontos reassigns Medicare benefits to 2 organizations: University Of Miami (Palm Beach Gardens, FL) and Sight Partners Physicians, P.C. (Coeur D Alene, ID). 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 Kontos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Kontos accept?
Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 3 other insurers list Mark Kontos 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 Kontos was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Mark A Kontos, MD · NPI 1114938990
Ophthalmology physician in Palm Beach Gardens, Florida. Individual provider, active in the CMS NPPES registry since August 10, 2006.
## Identity
- **NPI:** 1114938990 (Entity type: Individual)
- **Enumerated:** August 10, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** ME169325 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 7101 FAIRWAY DR, Palm Beach Gardens, FL 33418-3701
- **Phone:** (561) 355-8974 · **Fax:** (561) 355-8600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Miami (NPI 1346317039, Palm Beach Gardens, FL); Sight Partners Physicians, P.C. (NPI 1023782307, Coeur D Alene, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1984
## Record status
- **NPPES last updated:** December 9, 2025
- **Other identifiers:** Other 180025917 (ID); Medicaid 003277200 (ID); Other 0041398 (WA); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1114938990) · Data from the CMS NPPES public registry.