DR. MARK P GOTCHEL MD
NPI 1114984481
Ophthalmology in East Stroudsburg, PA
About Dr. Mark P Gotchel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK P GOTCHEL MD (NPI 1114984481) is an individual ophthalmology provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (MD029888E) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Wake Forest University School Of Medicine (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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 P Gotchel 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.
Areas of Expertise CMS Part B claims 8
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 18301 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gotchel's NPI number?
The NPI number for Mark Gotchel is 1114984481. It was assigned to this individual provider in the NPPES registry on April 28, 2006.
Where is Mark Gotchel located?
Mark Gotchel practices at 300 Plaza Ct Suite A, East Stroudsburg, PA 18301. The listed phone number is (570) 421-8842.
What is Mark Gotchel's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Mark Gotchel enrolled in Medicare?
Yes. Mark Gotchel 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 Gotchel accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Mark Gotchel 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 Gotchel was last updated on January 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.