MARK WALSH DO
NPI 1174513675
Physical Medicine & Rehabilitation in Reading, PA

Active since October 26, 2005PECOS Enrolled
100/100
CMS Quality Rating
1623 MORGANTOWN RD, READING, PA 19607(272) 228-0476 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Walsh Do NPPES

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

MARK WALSH DO (NPI 1174513675) is an individual physical medicine & rehabilitation provider in Reading, Pennsylvania, licensed in Pennsylvania (OS007757L) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174513675
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameMARK WALSHCredential: DO
Location Address1623 MORGANTOWN RDReading, PA 19607-9455
Mailing Address1623 Morgantown RdReading, PA 19607-9455 · (226) 228-0476
Sole ProprietorNo
Enumeration DateOctober 26, 2005
Last NPPES UpdateJuly 24, 2019
NPI 1174513675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in PA · OS007757L
Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

1623 MORGANTOWN RD, Reading, PA 19607

Other Identifiers 9

Other50076569PA · Capital Blue Cross
Medicaid001540071-0005PA
Other1775120PA · Blue Care
Other20041481PA · Amerihealth
Other819322PA · Blue Care Hmo (fph)
Other001540071PA · Medical Assistance
Other4407486PA · Aetna
OtherP00292337PA · Railroad Medicare
Other95285-1067PA · Geisinger

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mark Walsh Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.
868 services156 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
198 services85 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.
197 services178 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.
93 services87 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.
59 services37 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.
26 services26 patients

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
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%302 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%336 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 16

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier22 claims22 services$51.89 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.47 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
2 suppliers23 claims23 services$48.89 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
2 suppliers25 claims25 services$9.22 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers66 claims66 services$52.86 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier66 claims66 services$16.63 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 18

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

Physical Medicine & Rehabilitation
1623 MORGANTOWN RD
READING, PA 19607
Internal Medicine
1623 MORGANTOWN RD
READING, PA 19607
Internal Medicine
1623 MORGANTOWN RD
READING, PA 19607
Occupational Therapist
1623 MORGANTOWN RD
READING, PA 19607
Physical Medicine & Rehabilitation
1623 MORGANTOWN RD
READING, PA 19607
Physical Medicine & Rehabilitation
1623 MORGANTOWN RD
READING, PA 19607
Rehabilitation Hospital
1623 MORGANTOWN RD
READING, PA 19607
Physical Medicine & Rehabilitation
1623 MORGANTOWN RD
READING, PA 19607

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 Walsh's NPI number?

The NPI number for Mark Walsh is 1174513675. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Mark Walsh located?

Mark Walsh practices at 1623 Morgantown Rd, Reading, PA 19607. The listed phone number is (272) 228-0476.

What is Mark Walsh's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Mark Walsh enrolled in Medicare?

Yes. Mark Walsh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Walsh was last updated on July 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.