MARK L TELLEZ MD
NPI 1164445102
Surgery in Fort Worth, TX

Q: What is Mark Tellez's NPI number?

The NPI number for Mark Tellez is 1164445102. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Mark Tellez's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Tellez was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment

1500 S MAIN ST, SUITE 303, FORT WORTH, TX 76104(817) 702-1172(817) 702-1605 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mark L Tellez Md NPPES

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

MARK L TELLEZ MD (NPI 1164445102) is an individual surgery provider in Fort Worth, Texas, licensed in Texas (L1214) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Grapevine, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1164445102

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMARK L TELLEZCredential: MD

Location Address1500 S MAIN ST, SUITE 303Fort Worth, TX 76104-4917

Mailing AddressPo Box 961205Fort Worth, TX 76161-1205 · (817) 740-8400 · Fax (817) 702-1605

Phone(817) 702-1172

Fax(817) 702-1605

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateJuly 25, 2006

Last NPPES UpdateFebruary 14, 2017

✔ NPI 1164445102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TX · L1214

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1500 S MAIN ST, Fort Worth, TX 76104

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Other Identifiers 5

Medicare UPINB41168

Medicaid140972403TX

Medicare PIN8D9924TX

Medicaid140972402TX

OtherP00308741Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Mark L Tellez 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 ID3870528359

PECOS Enrollment IDI20051004000348

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 4

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 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

61 services38 patients

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.

42 services32 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.

17 services17 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450563

Location1650 W College StGrapevine, TX 76051 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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 20

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

JONATHAN A LAZARINI MD

Family Medicine

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (903) 353-2265

ALLYSON EVANS

Nurse Anesthetist, Certified Registered

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (801) 792-5267

DR. TREVOR A JOHNSON MD

Family Medicine

1500 S MAIN ST
FT WORTH, TX 76104

Tarrant County (817) 702-3431

DR. LELIA ERRETT WILLIAMS MD

Student in an Organized Health Care Education/Training Program

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (817) 702-1244

MITCHELL JOHNSON

Student in an Organized Health Care Education/Training Program

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (817) 702-1100

RIDDHI RANE MD

Student in an Organized Health Care Education/Training Program

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (817) 702-6500

DR. JOANE BAUMER M.D.

Family Medicine

1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104

Tarrant County (817) 335-1034

SHARYL WORKMAN PA

Physician Assistant

1500 S MAIN ST
FORT WORTH, TX 76104

Tarrant County (817) 927-1100

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 Tellez's NPI number?

The NPI number for Mark Tellez is 1164445102. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Mark Tellez located?

Mark Tellez practices at 1500 S Main St Suite 303, Fort Worth, TX 76104. The listed phone number is (817) 702-1172.

What is Mark Tellez's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mark Tellez enrolled in Medicare?

Yes. Mark Tellez 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 Tellez accept?

Health plans from Blue Cross and Blue Shield of Texas list Mark Tellez 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 Tellez affiliated with any hospitals?

According to CMS data, Mark Tellez is affiliated with Baylor Scott & White Medical Center Grapevine.

When was this NPI record last updated?

The NPPES record for Mark Tellez was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.