DR. MARK A MULLINS M.D.
NPI 1154302933
Emergency Medicine in South Weymouth, MA

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
97.99/100
CMS Quality Rating
55 FOGG RD, SOUTH WEYMOUTH, MA 02190(781) 624-8321 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mark A Mullins M.d. NPPES

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

DR. MARK A MULLINS M.D. (NPI 1154302933) is an individual emergency medicine provider in South Weymouth, Massachusetts, licensed in Massachusetts (210264) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of Tufts University School Of Medicine (1998).

NPPES Registry Identity

NPI1154302933
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARK A MULLINSCredential: M.D.
Location Address55 FOGG RDSouth Weymouth, MA 02190-2432
Mailing Address55 Fogg RdSouth Weymouth, MA 02190-2432 · (781) 624-8321
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1998
Enumeration DateNovember 9, 2005
Last NPPES UpdateJuly 30, 2015
✔ NPI 1154302933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 210264
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
55 FOGG RD, South Weymouth, MA 02190

Other Identifiers 2

Medicaid0163431MA
Medicare UPINH51743MA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark A Mullins M.d. 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 ID4284659046
PECOS Enrollment IDI20051011000279
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Mark Mullins reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
800 WASHINGTON ST, BOX 311
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 30 clinicians in this Medicare group
Internal Medicine
11 SHORE RD
Winchester, MA 01890
  • Reassigned Medicare billing, Massachusetts enrollment
  • 221 clinicians in this Medicare group
Emergency Medicine
41 HIGHLAND AVE
Winchester, MA 01890
  • Reassigned Medicare billing, Massachusetts enrollment
  • 39 clinicians in this Medicare group
Urology
41 MALL RD LAHEY HOSPITAL & MEDICAL CENTER
Burlington, MA 01805
  • Reassigned Medicare billing, Massachusetts enrollment
  • 477 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
160 services156 patients
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.
110 services105 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
105 services105 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
89 services89 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.
41 services41 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02190 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

97.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.87
Improvement Activities40

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.

Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Radiology (Diagnostic Radiology)
55 FOGG RD
WEYMOUTH, MA 02190
Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Dietitian, Registered
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Nurse Practitioner (Psychiatric/Mental Health)
55 FOGG RD
WEYMOUTH, MA 02190
Pediatrics
55 FOGG RD
S WEYMOUTH, MA 02190
Social Worker (Clinical)
55 FOGG RD
WEYMOUTH, MA 02190
Student in an Organized Health Care Education/Training Program
55 FOGG RD
SOUTH WEYMOUTH, MA 02190

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 Mullins's NPI number?

The NPI number for Mark Mullins is 1154302933. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Mark Mullins located?

Mark Mullins practices at 55 Fogg Rd, South Weymouth, MA 02190. The listed phone number is (781) 624-8321.

What is Mark Mullins's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Mullins enrolled in Medicare?

Yes. Mark Mullins 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.

Which organizations bill Medicare for Mark Mullins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Mullins reassigns Medicare benefits to 4 organizations: Tufts Medical Center Ep LLC (Boston, MA), Winchester Physician Associates, Inc (Winchester, MA), Winchester Emergency Medical Associates PC (Winchester, MA) and Beth Israel Lahey Health Specialty Care, Inc. (Burlington, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Mullins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Mullins accept?

Health plans from Taro Health list Mark Mullins 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.

Is Mark Mullins affiliated with any hospitals?

According to CMS data, Mark Mullins is affiliated with Winchester Hospital.

When was this NPI record last updated?

The NPPES record for Mark Mullins was last updated on July 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.