MARK J FUOSS MD
NPI 1174539241
Obstetrics & Gynecology in Sewickley, PA

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
301 OHIO RIVER BLVD STE 301, SEWICKLEY, PA 15143(412) 741-6530(412) 741-9274 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 3, 2021, Sep 30, 2020, Jan 30, 2017 (3 updates tracked since 2017).

About Mark J Fuoss Md NPPES

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

MARK J FUOSS MD (NPI 1174539241) is an individual obstetrics & gynecology provider in Sewickley, Pennsylvania, licensed in Pennsylvania (MD042982E) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Heritage Valley Beaver, and is a graduate of University Of Pittsburgh School Of Medicine (1991).

NPPES Registry Identity

NPI1174539241
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMARK J FUOSSCredential: MD
Location Address301 OHIO RIVER BLVD STE 301Sewickley, PA 15143-1300
Mailing Address301 Ohio River Blvd Ste 301Sewickley, PA 15143-1300 · (412) 741-6530 · Fax (412) 741-9274
Fax(412) 741-9274
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1991
Enumeration DateJuly 31, 2006
Last NPPES UpdateAugust 3, 20213 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
NPI 1174539241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in PA · MD042982E
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

301 OHIO RIVER BLVD STE 301, Sewickley, PA 15143

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 J Fuoss 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 ID5597790584
PECOS Enrollment IDI20050928000910
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
76 services76 patients
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.
30 services29 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390036
Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County
Emergency services

Heritage Valley Sewickley

Acute Care Hospitals · Sewickley, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390037
Location720 Blackburn RoadSewickley, PA 15143 · Allegheny County
Emergency services

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15143 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Physician Assistant
301 OHIO RIVER BLVD STE 301
SEWICKLEY, PA 15143
Obstetrics & Gynecology
301 OHIO RIVER BLVD STE 301
SEWICKLEY, PA 15143
Obstetrics & Gynecology
301 OHIO RIVER BLVD STE 301
SEWICKLEY, PA 15143
Physician Assistant
301 OHIO RIVER BLVD STE 301
SEWICKLEY, PA 15143
Obstetrics & Gynecology
301 OHIO RIVER BLVD STE 301
SEWICKLEY, PA 15143
Physician Assistant
301 OHIO RIVER BLVD STE 301
SEWICKLEY, PA 15143
Obstetrics & Gynecology
301 OHIO RIVER BLVD STE 301
SEWICKLEY, PA 15143
Obstetrics & Gynecology
301 OHIO RIVER BLVD STE 301
SEWICKLEY, PA 15143

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 Fuoss's NPI number?

The NPI number for Mark Fuoss is 1174539241. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Mark Fuoss located?

Mark Fuoss practices at 301 Ohio River Blvd Ste 301, Sewickley, PA 15143. The listed phone number is (412) 741-6530.

What is Mark Fuoss's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mark Fuoss enrolled in Medicare?

Yes. Mark Fuoss 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 Fuoss affiliated with any hospitals?

According to CMS data, Mark Fuoss is affiliated with Heritage Valley Beaver, Heritage Valley Sewickley, Allegheny General Hospital and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Mark Fuoss was last updated on August 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.