MARK REBOLOS M.D. , F.A.C.O.G
NPI 1255746368
Obstetrics & Gynecology in Flushing, NY

Active since June 26, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5645 MAIN ST DEPT OF, FLUSHING, NY 11355(718) 670-2000 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2023, Jul 17, 2019, Feb 5, 2016 (3 updates tracked since 2016).

About Mark Rebolos M.d. , F.a.c.o.g NPPES

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

MARK REBOLOS M.D. , F.A.C.O.G (NPI 1255746368) is an individual obstetrics & gynecology provider in Flushing, New York, licensed in New York (298180) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with St John's Episcopal Hospital At South Shore, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1255746368
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMARK REBOLOSCredential: M.D. , F.A.C.O.G
Location Address5645 MAIN ST DEPT OFFlushing, NY 11355-5045
Mailing Address5645 Main StFlushing, NY 11355-5045 · (718) 630-7000
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 26, 2014
Last NPPES UpdateJanuary 26, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
NPI 1255746368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NY · 298180
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.
5645 MAIN ST DEPT OF, Flushing, NY 11355

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 Rebolos M.d. , F.a.c.o.g 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 ID3072850932
PECOS Enrollment IDI20190821002749
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.

Hospital Affiliations CMS Care Compare

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

St John's Episcopal Hospital At South Shore

Acute Care Hospitals · Far Rockaway, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330395
Location327 Beach 19th StreetFar Rockaway, NY 11691 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
5645 MAIN ST DEPT OF
FLUSHING, NY 11355
Nurse Anesthetist, Certified Registered
5645 MAIN ST DEPT OF
FLUSHING, NY 11355
Radiology (Diagnostic Radiology)
5645 MAIN ST DEPT OF
FLUSHING, NY 11355
Internal Medicine
5645 MAIN ST DEPT OF
FLUSHING, NY 11355
Surgery (Vascular Surgery)
5645 MAIN ST DEPT OF
FLUSHING, NY 11355
Internal Medicine (Critical Care Medicine)
5645 MAIN ST DEPT OF
FLUSHING, NY 11355

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 Rebolos's NPI number?

The NPI number for Mark Rebolos is 1255746368. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Where is Mark Rebolos located?

Mark Rebolos practices at 5645 Main St Dept Of, Flushing, NY 11355. The listed phone number is (718) 670-2000.

What is Mark Rebolos's specialty?

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

Is Mark Rebolos enrolled in Medicare?

Yes. Mark Rebolos 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 Rebolos affiliated with any hospitals?

According to CMS data, Mark Rebolos is affiliated with St John's Episcopal Hospital At South Shore.

When was this NPI record last updated?

The NPPES record for Mark Rebolos was last updated on January 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.