DR. MARK ANDREW FOPPE DO
NPI 1285657601
Emergency Medicine in Lakeland, FL

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
441 ENCLAVE PL, LAKELAND, FL 33803(863) 602-3941 Get Directions Write a Review

NPPES record last updated: April 4, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Mark Andrew Foppe Do NPPES

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

DR. MARK ANDREW FOPPE DO (NPI 1285657601) is an individual emergency medicine provider in Lakeland, Florida, licensed in Florida (OS8701) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1988).

NPPES Registry Identity

NPI1285657601
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARK ANDREW FOPPECredential: DO
Location Address441 ENCLAVE PLLakeland, FL 33803-5457
Mailing Address441 Enclave PlLakeland, FL 33803-5457 · (863) 602-3941
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1988
Enumeration DateJuly 26, 2006
Last NPPES UpdateApril 4, 2020
NPPES CertifiedApril 4, 2020
✔ NPI 1285657601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · OS8701
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
441 ENCLAVE PL, Lakeland, FL 33803

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Andrew Foppe Do 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 ID3476642786
PECOS Enrollment IDI20220324001274
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.

Medicare Billing Reassignments

14

Medicare enrollment records show Mark Foppe reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
3305 US HIGHWAY 98 S
Lakeland, FL 33803
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
Emergency Medicine
410 S 11TH ST
Lake Wales, FL 33853
  • Reassigned Medicare billing, Florida enrollment
  • 99 clinicians in this Medicare group
Urgent Care
311 SOUTH AVALON PARK BLVD
Orlando, FL 32828
  • Reassigned Medicare billing, Florida enrollment
  • 133 clinicians in this Medicare group
Emergency Medicine
524 W SAGAMORE AVE
Clewiston, FL 33440
  • Reassigned Medicare billing, Florida enrollment
  • 147 clinicians in this Medicare group
Urgent Care
720 SW 2ND AVE., 160A
Gainesville, FL 32601
  • Reassigned Medicare billing, Florida enrollment
  • 167 clinicians in this Medicare group
Emergency Medicine
4370 W MAIN ST
Dothan, AL 36305
  • Reassigned Medicare billing, Alabama enrollment
  • 252 clinicians in this Medicare group
Emergency Medicine
1200 W MAPLE AVE
Geneva, AL 36340
  • Reassigned Medicare billing, Alabama enrollment
  • 36 clinicians in this Medicare group
Emergency Medicine
126 HOSPITAL AVE
Ozark, AL 36360
  • Reassigned Medicare billing, Alabama enrollment
  • 140 clinicians in this Medicare group
Emergency Medicine
1330 HIGHWAY 231 S
Troy, AL 36081
  • Reassigned Medicare billing, Alabama enrollment
  • 60 clinicians in this Medicare group
Orthopaedic Surgery
301 MEDICAL AVENUE, SUITE C
Andalusia, AL 36420
  • Reassigned Medicare billing, Alabama enrollment
  • 54 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
258 services255 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
233 services223 patients
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.
96 services94 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
64 services63 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33803 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.76
Promoting Interoperability100
Improvement Activities40

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 Foppe's NPI number?

The NPI number for Mark Foppe is 1285657601. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Mark Foppe located?

Mark Foppe practices at 441 Enclave Pl, Lakeland, FL 33803. The listed phone number is (863) 602-3941.

What is Mark Foppe's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Foppe enrolled in Medicare?

Yes. Mark Foppe 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.

Which organizations bill Medicare for Mark Foppe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Foppe reassigns Medicare benefits to 14 organizations: Sunshine Urgent Care, LLC (Lakeland, FL), Lake Wales Emergency Physicians, LLC (Lake Wales, FL), Carespot Of Orlando Hsi Urgent Care LLC (Orlando, FL), Small Hospital Innovations LLC (Clewiston, FL), Shands/Solantic Joint Venture, LLC (Gainesville, FL) and 9 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Foppe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Foppe accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Alabama, Oscar Health Plan, Inc. and Oscar Insurance Company list Mark Foppe 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.

When was this NPI record last updated?

The NPPES record for Mark Foppe was last updated on April 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.