DR. MARK P GOTCHEL MD
NPI 1114984481
Ophthalmology in East Stroudsburg, PA

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
300 PLAZA CT, SUITE A, EAST STROUDSBURG, PA 18301(570) 421-8842(570) 476-5842 Get Directions Write a Review

NPPES record last updated: January 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1114984481
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARK P GOTCHELCredential: MD
Location Address300 PLAZA CT, SUITE AEast Stroudsburg, PA 18301-8260
Mailing Address300 Plaza Ct, Suite AEast Stroudsburg, PA 18301-8260 · (570) 421-8842 · Fax (570) 476-5842
Fax(570) 476-5842
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 1982
Enumeration DateApril 28, 2006
Last NPPES UpdateJanuary 28, 2014
NPI 1114984481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD029888E
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.
300 PLAZA CT, East Stroudsburg, PA 18301

Other Identifiers 3

Medicare UPINB41586
Medicaid0015217550003PA
Medicare ID-Type UnspecifiedG0425250

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.

PECOS PAC ID143271734
PECOS Enrollment IDI20100630000455
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 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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
368 services354 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
250 services172 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).
109 services108 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.
101 services96 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
98 services94 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
90 services88 patients

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.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Optometrist
300 PLAZA CT, STE A
EAST STROUDSBURG, PA 18301
Ophthalmology
300 PLAZA CT, SUITE A
EAST STROUDSBURG, PA 18301
Optometrist
300 PLAZA CT, STE A
EAST STOUDSBURG, PA 18301
Ophthalmology
300 PLAZA CT, STE A
EAST STROUDSBURG, PA 18301
Ophthalmology
300 PLAZA CT, SUITE A
EAST STROUDSBURG, PA 18301

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.