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DR. MARK ZIBELMAN MD
NPI 1205934890
Internal Medicine in Philadelphia, PA

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
1818 E PASSYUNK AVE, PHILADELPHIA, PA 19148(215) 468-2553(215) 468-1096 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mark Zibelman Md NPPES

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

DR. MARK ZIBELMAN MD (NPI 1205934890) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD015925E) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains a secondary practice location in Ridley Park.

NPPES Registry Identity

NPI1205934890
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARK ZIBELMANCredential: MD
Location Address1818 E PASSYUNK AVEPhiladelphia, PA 19148-2128
Mailing Address1818 E Passyunk AvePhiladelphia, PA 19148-2128 · (215) 468-2553 · Fax (215) 468-1096
Phone(215) 468-2553
Fax(215) 468-1096
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1973
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 4, 2019
✔ NPI 1205934890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD015925E
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1818 E PASSYUNK AVE, Philadelphia, PA 19148
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Secondary Practice Location 1

Location 18 Morton AveRidley Park, PA 19078-2210 · Phone (610) 957-1770 · Fax (610) 957-1774

Other Identifiers 1

Medicaid000655665PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Zibelman 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 ID7416130323
PECOS Enrollment IDI20110330000085
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

3

Medicare enrollment records show Mark Zibelman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Methodist Associates In Healthcare Heart Station
0.2 mi
Cardiovascular Disease
1703 S BROAD ST STE 300
Philadelphia, PA 19148
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Methodist Associates In Healthcare, Inc
  • 600 clinicians in this Medicare group
NPI 1023052172 (215) 463-5333
Jefferson University Physicians
1.7 mi
General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
NPI 1326093675 (215) 955-0000
Prospect Health Access Network, Inc.
6.5 mi
Urology
2100 KEYSTONE AVE
Drexel Hill, PA 19026
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
NPI 1982152294 (610) 259-3000

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

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 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19148 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers12 claims18 services$4.77 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 suppliers19 claims19 services$42.91 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 3

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

JOSEPH P BADOLATO D.O.
Family Medicine
1818 E PASSYUNK AVE
PHILADELPHIA, PA 19148
Philadelphia County (215) 468-2553
HELEN EVERS-HUNT ANP-BC
Nurse Practitioner (Adult Health)
1818 E PASSYUNK AVE
PHILADELPHIA, PA 19148
Philadelphia County (215) 468-2553
JOSEPH P. BADOLATO, D.O., P.C.
Family Medicine
1818 E PASSYUNK AVE
PHILADELPHIA, PA 19148
Philadelphia County (215) 468-2553

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 Zibelman's NPI number?

The NPI number for Mark Zibelman is 1205934890. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Mark Zibelman located?

Mark Zibelman practices at 1818 E Passyunk Ave, Philadelphia, PA 19148. The listed phone number is (215) 468-2553.

What is Mark Zibelman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Zibelman enrolled in Medicare?

Yes. Mark Zibelman 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 Zibelman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Zibelman reassigns Medicare benefits to 3 organizations: Methodist Associates In Healthcare Heart Station (Philadelphia, PA), Jefferson University Physicians (Philadelphia, PA) and Prospect Health Access Network, Inc. (Drexel Hill, PA). 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 Zibelman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Zibelman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mark Zibelman 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 Zibelman affiliated with any hospitals?

According to CMS data, Mark Zibelman is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Mark Zibelman was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.