DR. MARK A KONTOS MD
NPI 1114938990
Ophthalmology in Palm Beach Gardens, FL

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
97.96/100
CMS Quality Rating
7101 FAIRWAY DR, PALM BEACH GARDENS, FL 33418(561) 355-8974(561) 355-8600 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2025, Dec 15, 2021, Nov 17, 2021 (3 updates tracked since 2021).

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

NPI1114938990
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARK A KONTOSCredential: MD
Location Address7101 FAIRWAY DRPalm Beach Gardens, FL 33418-3701
Mailing Address7101 Fairway DrPalm Beach Gardens, FL 33418-3701 · (561) 355-8974 · Fax (561) 355-8600
Fax(561) 355-8600
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateAugust 10, 2006
Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
NPI 1114938990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME169325
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

7101 FAIRWAY DR, Palm Beach Gardens, FL 33418

Other Identifiers 6

Other180025917ID · Railroad Medicare
Medicaid003277200ID
Other0041398WA · L&i
Medicaid1081835WA
Other180015252WA · Railroad Medicare
MedicaidP3503708MT

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

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.

PECOS PAC ID5799784369
PECOS Enrollment IDI20100318000774, I20101111000090, I20251024000135
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.

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.

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.
260 services228 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
242 services148 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
216 services122 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.
175 services175 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
167 services149 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
100 services69 patients

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.

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.

97.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.6
Improvement Activities40

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist (Low Vision Rehabilitation)
7101 FAIRWAY DR
PALM BEACH GARDENS, FL 33418
Technician/Technologist (Optician)
7101 FAIRWAY DR, 1ST, FLOOR
PALM BEACH GARDENS, FL 33418
Ophthalmology
7101 FAIRWAY DR, BASCOM PALMER EYE INSTITUTE
PALM BEACH GARDENS, FL 33418
Ophthalmology
7101 FAIRWAY DR
PALM BEACH GARDENS, FL 33418
Nurse Anesthetist, Certified Registered
7101 FAIRWAY DR
PALM BEACH GARDENS, FL 33418
Ophthalmology
7101 FAIRWAY DR
PALM BEACH GARDENS, FL 33418
Ophthalmology
7101 FAIRWAY DR
PALM BEACH GARDENS, FL 33418
Ophthalmology
7101 FAIRWAY DR
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.

What insurance does Mark Kontos accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Moda Health Plan, Inc., Oscar Health Maintenance Organization of Florida and Premera Blue Cross Blue Shield of Alaska and 1 other insurer 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 with the weekly NPPES data releases published by CMS.