DR. MARK G STOKES MD
NPI 1235119488
Internal Medicine in Great Neck, NY

Active since January 21, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
865 NORTHERN BLVD, GREAT NECK, NY 11021(516) 622-5000(516) 622-5005 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark G Stokes Md NPPES

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

DR. MARK G STOKES MD (NPI 1235119488) is an individual internal medicine provider in Great Neck, New York, licensed in New York (187317) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1990).

NPPES Registry Identity

NPI1235119488
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARK G STOKESCredential: MD
Location Address865 NORTHERN BLVDGreat Neck, NY 11021-5310
Mailing Address972 Brush Hollow RdWestbury, NY 11590-1740 · (516) 876-5555 · Fax (516) 876-1246
Fax(516) 622-5005
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1990
Enumeration DateJanuary 21, 2006
Last NPPES UpdateJune 28, 2012
NPI 1235119488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 187317
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.
865 NORTHERN BLVD, Great Neck, NY 11021

Other Identifiers 3

Medicaid01426324NY
Medicare ID-Type Unspecified65H081NY
Medicare UPINF65164NY

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

Dr. Mark G Stokes 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 ID8325129885
PECOS Enrollment IDI20080123000060
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.

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.
202 services139 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
81 services81 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.
43 services35 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services12 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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
9 suppliers24 claims56 services$4.21 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims16 services$0.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.97 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$13.27 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 20

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

Obstetrics & Gynecology
865 NORTHERN BLVD, SUITE 202
GREAT NECK, NY 11021
Nurse Practitioner (Women's Health)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Internal Medicine (Endocrinology, Diabetes & Metabolism)
865 NORTHERN BLVD, 203
GREAT NECK, NY 11021
Nurse Practitioner (Family)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Obstetrics & Gynecology (Maternal & Fetal Medicine)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Student in an Organized Health Care Education/Training Program
865 NORTHERN BLVD
GREAT NECK, NY 11021
Nurse Practitioner (Family)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Internal Medicine
865 NORTHERN BLVD
GREAT NECK, NY 11021

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 Stokes's NPI number?

The NPI number for Mark Stokes is 1235119488. It was assigned to this individual provider in the NPPES registry on January 21, 2006.

Where is Mark Stokes located?

Mark Stokes practices at 865 Northern Blvd, Great Neck, NY 11021. The listed phone number is (516) 622-5000.

What is Mark Stokes's specialty?

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

Is Mark Stokes enrolled in Medicare?

Yes. Mark Stokes 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 Stokes affiliated with any hospitals?

According to CMS data, Mark Stokes is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Mark Stokes was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.