MARK D EDEN MD
NPI 1275528119
Family Medicine in Fredericksburg, TX

Q: What is Mark Eden's NPI number?

The NPI number for Mark Eden is 1275528119. It was assigned to this individual provider in the NPPES registry on September 16, 2005. The provider is also known as Mark D Eden MD.

Q: What is Mark Eden's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Eden was last updated on January 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 16, 2005PECOS EnrolledAccepts Medicare Assignment

22.08/100

CMS Quality Rating

820 REUBEN ST STE B, FREDERICKSBURG, TX 78624(830) 997-9497(830) 997-5677 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mark D Eden Md NPPES

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

MARK D EDEN MD (NPI 1275528119) is an individual family medicine provider in Fredericksburg, Texas, licensed in Texas (H6187) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of Baylor College Of Medicine (1988).

NPPES Registry Identity

NPI1275528119

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARK D EDENCredential: MD

Location Address820 REUBEN ST STE BFredericksburg, TX 78624-4583

Mailing Address820 Reuben St Ste BFredericksburg, TX 78624-4583 · (830) 997-9497 · Fax (830) 997-5677

Phone(830) 997-9497

Fax(830) 997-5677

Sole ProprietorYes

Medical School CMSBaylor College Of MedicineGraduated 1988

Enumeration DateSeptember 16, 2005

Last NPPES UpdateJanuary 14, 2016

✔ NPI 1275528119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · H6187

Definition

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.

820 REUBEN ST STE B, Fredericksburg, TX 78624

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Other Names 1

Professional Name (2)Mark D Eden Md

Other Identifiers 4

Other8EH989TX · Bcbstx

Medicare UPINE10797

Medicaid337166801TX

Medicare PIN346414TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Mark D Eden 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 ID8628033966

PECOS Enrollment IDI20041129000095

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 15

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.

766 services304 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.

304 services304 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

302 services302 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

208 services34 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

150 services24 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

116 services24 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

96 services21 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

92 services92 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.

85 services67 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

74 services50 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

44 services31 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

28 services28 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

20 services20 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

20 services20 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450007

Location551 Hill Country DriveKerrville, TX 78028 · Kerr County

Emergency services Birthing friendly

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number450604

Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78624 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

22.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

53.61

Referred Medical Equipment & Supplies CMS DME claims 9

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

5 suppliers33 claims84 services$5.49 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers11 claims12 services$0.75 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers27 claims27 services$46.24 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

2 suppliers13 claims68 services$23.38 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

2 suppliers11 claims55 services$14.33 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers25 claims25 services$71.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES

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

MARK D EDEN MD PA

Family Medicine

820 REUBEN ST STE B
FREDERICKSBURG, TX 78624

Gillespie County (830) 997-9497

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 Eden's NPI number?

The NPI number for Mark Eden is 1275528119. It was assigned to this individual provider in the NPPES registry on September 16, 2005. The provider is also known as Mark D Eden MD.

Where is Mark Eden located?

Mark Eden practices at 820 Reuben St Ste B, Fredericksburg, TX 78624. The listed phone number is (830) 997-9497.

What is Mark Eden's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Eden enrolled in Medicare?

Yes. Mark Eden 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.

What insurance does Mark Eden accept?

Health plans from UnitedHealthcare list Mark Eden 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 Eden affiliated with any hospitals?

According to CMS data, Mark Eden is affiliated with Peterson Regional Medical Center and Hill Country Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mark Eden was last updated on January 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.