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MARK GARFINKLE MD
NPI 1124039698
Hospitalist in Redding, CA

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
2175 ROSALINE AVE, REDDING, CA 96001(530) 225-6000 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2022, Aug 8, 2018 (2 updates tracked since 2018).

About Mark Garfinkle Md NPPES

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

MARK GARFINKLE MD (NPI 1124039698) is an individual hospitalist provider in Redding, California, licensed in California (C55953) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Eastern New Mexico Medical Center, and maintains a secondary practice location in Mission Viejo.

NPPES Registry Identity

NPI1124039698
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMARK GARFINKLECredential: MD
Location Address2175 ROSALINE AVERedding, CA 96001-2549
Mailing Address26522 La Alameda, Suite 120Mission Viejo, CA 92691-6330 · (949) 282-1671 · Fax (949) 367-0518
Phone(530) 225-6000
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2002
Enumeration DateAugust 10, 2006
Last NPPES UpdateFebruary 18, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2022
✔ NPI 1124039698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in CA · C55953✔ Licensed in IN · 01080918A✔ Licensed in MD · D65020
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License D65020 (MD)
2175 ROSALINE AVE, Redding, CA 96001
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Secondary Practice Location 1

Location 126800 Crown Valley Pkwy, Suite 315Mission Viejo, CA 92691-6384 · Phone (949) 364-6000 · Fax (949) 364-1204

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

Mark Garfinkle 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 ID6709886856
PECOS Enrollment IDI20130702000582, I20220321001914
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
326 services166 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
181 services174 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
69 services66 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
68 services68 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
64 services33 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Eastern New Mexico Medical Center

Acute Care Hospitals · Roswell, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320006
Location405 W Country Club RoadRoswell, NM 88201 · Chaves County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96001 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers67 claims67 services$16.65 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$5.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers74 claims74 services$90.46 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier22 claims22 services$18.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOHN CRAIG STEWART MD
Anesthesiology
2175 ROSALINE AVE
REDDING, CA 96001
Shasta County (530) 225-6000
CEP AMERICA - ANESTHESIA PC
Anesthesiology
2175 ROSALINE AVE
REDDING, CA 96001
Shasta County (530) 225-6000
CRAIG TRAUGOTT M.D.
Pediatrics (Neonatal-Perinatal Medicine)
2175 ROSALINE AVE, MERCY MEDICAL CENTER REDDING
REDDING, CA 96001
Shasta County (530) 225-7386
CARL E TJERANDSEN PA
Physician Assistant
2175 ROSALINE AVE
REDDING, CA 96001
Shasta County (530) 225-6000
RYAN JAMES ZAUHER PA-C
Physician Assistant (Surgical)
2175 ROSALINE AVE
REDDING, CA 96001
Shasta County (530) 225-7568
DR. PAUL MATTHEW JOHNSON M.D.
Emergency Medicine
2175 ROSALINE AVE
REDDING, CA 96001
Shasta County (530) 225-7800
JOSEPH HARRISON TIPPETTS PA-C
Physician Assistant
2175 ROSALINE AVE
REDDING, CA 96001
Shasta County (530) 225-6000
DOUGLAS KEVIN MANDEL MD
Anesthesiology
2175 ROSALINE AVE
REDDING, CA 96001
Shasta County (530) 225-7100

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 Garfinkle's NPI number?

The NPI number for Mark Garfinkle is 1124039698. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Mark Garfinkle located?

Mark Garfinkle practices at 2175 Rosaline Ave, Redding, CA 96001. The listed phone number is (530) 225-6000.

What is Mark Garfinkle's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mark Garfinkle enrolled in Medicare?

Yes. Mark Garfinkle 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.

Is Mark Garfinkle affiliated with any hospitals?

According to CMS data, Mark Garfinkle is affiliated with Eastern New Mexico Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Garfinkle was last updated on February 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.