MARTA MUNDT PAC
NPI 1124769757
Physician Assistant in Wheaton, MD

Q: What is Marta Mundt's NPI number?

The NPI number for Marta Mundt is 1124769757. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Q: What is Marta Mundt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Marta Mundt was last updated on December 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 06, 2022PECOS EnrolledAccepts Medicare Assignment

11915 GEORGIA AVE, WHEATON, MD 20902(855) 910-3278 Get Directions Write a Review

NPPES record last updated: December 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 25, 2024, Apr 6, 2022 (2 updates tracked since 2022).

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About Marta Mundt Pac NPPES

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

MARTA MUNDT PAC (NPI 1124769757) is an individual physician assistant in Wheaton, Maryland, licensed in Pennsylvania (MA063362) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124769757

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARTA MUNDTCredential: PAC

Location Address11915 GEORGIA AVEWheaton, MD 20902-2065

Mailing Address11915 Georgia AveWheaton, MD 20902-2065 · (240) 354-1307

Phone(855) 910-3278

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 6, 2022

Last NPPES UpdateDecember 25, 20242 updates tracked since enumeration

NPPES CertifiedDecember 25, 2024

✔ NPI 1124769757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in PA · MA063362✔ Licensed in MD · C0009674✔ Licensed in VA · 0110010586✔ Licensed in PA · OA006015

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

11915 GEORGIA AVE, Wheaton, MD 20902

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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

Marta Mundt Pac 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 ID1254785363

PECOS Enrollment IDI20250218002486

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20902 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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.

Other Providers at the Same Location NPPES 6

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

DR. EDWARD JOSEPH KIMLIN MD

Emergency Medicine (Sports Medicine)