DR. MARK STEVEN SOUDER MD
NPI 1245218973
Family Medicine in Auburn, IN
About Dr. Mark Steven Souder Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK STEVEN SOUDER MD (NPI 1245218973) is an individual family medicine provider in Auburn, Indiana, licensed in Indiana (01026373A) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through April 10, 2028, and is affiliated with Parkview Regional Medical Center.
NPPES Registry Identity
Specialties & Licenses
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Other Identifiers 6
Accepted 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
Dr. Mark Steven Souder 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D0710509
Dr Mark Souder Office · Auburn, INAreas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parkview Regional Medical Center
Acute Care Hospitals · Fort Wayne, INParkview Dekalb Hospital
Acute Care Hospitals · Auburn, INParkview Noble Hospital
Acute Care Hospitals · Kendallville, INCameron Memorial Community Hospital Inc
Critical Access Hospitals · Angola, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 12
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 18% | 283 |
| Colorectal Cancer Screening | 40% | 708 |
| Controlling High Blood Pressure | 49% | 490 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 100% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 146 |
| Documentation of Current Medications in the Medical Record | 98% | 4377 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 455 |
| Use of High-Risk Medications in Older Adults | 4% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 455 |
| Use of High-Risk Medications in Older Adults | 4% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 455 |
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUBURN, IN 46706
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245218973, enumerated as an "individual" on January 03, 2006.
The provider is located at 1310 E 7TH ST AUBURN, IN 46706 and the phone number is (260) 925-0305.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
Mark Souder is affiliated with: PARKVIEW REGIONAL MEDICAL CENTER, PARKVIEW DEKALB HOSPITAL, PARKVIEW NOBLE HOSPITAL and CAMERON MEMORIAL COMMUNITY HOSPITAL INC.
