MARK SOMERS M.D.
NPI 1255374864
Internal Medicine - Cardiovascular Disease in Waterford, CT

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
196 PARKWAY SOUTH, SUITE 103, WATERFORD, CT 06385(860) 443-4383(860) 443-3980 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Somers M.d. NPPES

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

MARK SOMERS M.D. (NPI 1255374864) is an individual cardiovascular disease provider in Waterford, Connecticut, licensed in Connecticut (39440) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Duke University School Of Medicine (1993).

NPPES Registry Identity

NPI1255374864
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMARK SOMERSCredential: M.D.
Location Address196 PARKWAY SOUTH, SUITE 103Waterford, CT 06385
Mailing Address196 Parkway South, Suite 103Waterford, CT 06385 · (860) 443-4383 · Fax (860) 443-3980
Fax(860) 443-3980
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1993
Enumeration DateJune 13, 2006
Last NPPES UpdateFebruary 12, 2013
NPI 1255374864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CT · 39440
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
196 PARKWAY SOUTH, Waterford, CT 06385

Other Identifiers 15

Other010039440CT03Anthem/eccd:06-1616101
OtherP2524336Oxford/eccd:06-1616101
Medicare ID-Type Unspecified060001426Eccd: 06-1616101
Other060064823Rr Med/eccd:06-1616101
Other0V8893Healthnet/eccg:06-1049086
Other060063797Rr Med/eccg:06-1049086
Other500HBC444CT01Anthem:hosp-based Eccd
Medicare ID-Type Unspecified060001404Eccg: 06-1049086
OtherP2375792Oxford/eccg:06-1049086
Other001394402Bluecare Family Plan
Other010039440CT01Anthem/eccg: 06-1049086
Medicare UPINH34434
Medicaid001394402CT
Other038610Connecticare
Other0V7317Healthnet/eccd:06-1616101

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 Somers M.d. 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 ID6507956778
PECOS Enrollment IDI20100303001079
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 21

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
690 services541 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.
490 services308 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
418 services295 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
230 services227 patients
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.
171 services94 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
132 services42 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06385 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$15.27 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 supplier15 claims15 services$81.45 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 11

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

Dentist (Orthodontics and Dentofacial Orthopedics)
196 PARKWAY SOUTH, SUITE 305
WATERFORD, CT 06385
Internal Medicine (Cardiovascular Disease)
196 PARKWAY SOUTH, SUITE 103
WATERFORD, CT 06385
Dentist (Orthodontics and Dentofacial Orthopedics)
196 PARKWAY SOUTH, SUITE 305
WATERFORD, CT 06385
Physician Assistant
196 PARKWAY SOUTH, SUITE 103
WATERFORD, CT 06385
Internal Medicine (Cardiovascular Disease)
196 PARKWAY SOUTH, SUITE 103
WATERFORD, CT 06385
Internal Medicine (Cardiovascular Disease)
196 PARKWAY SOUTH, SUITE 103
WATERFORD, CT 06385
Internal Medicine (Cardiovascular Disease)
196 PARKWAY SOUTH, SUITE 103
WATERFORD, CT 06385
Internal Medicine (Medical Oncology)
196 PARKWAY SOUTH, SUITE 303
WATERFORD, CT 06385

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 Somers's NPI number?

The NPI number for Mark Somers is 1255374864. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Mark Somers located?

Mark Somers practices at 196 Parkway South Suite 103, Waterford, CT 06385. The listed phone number is (860) 443-4383.

What is Mark Somers's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mark Somers enrolled in Medicare?

Yes. Mark Somers 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 Somers affiliated with any hospitals?

According to CMS data, Mark Somers is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Mark Somers was last updated on February 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.