MARK LOUIS LORTHE MD
NPI 1295364495
Family Medicine in New York, NY
About Mark Louis Lorthe Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK LOUIS LORTHE MD (NPI 1295364495) is an individual family medicine provider in New York, New York, licensed in New York (312531) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Howard University College Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Mark Louis Lorthe 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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Lorthe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Annapolis, MD 21401
- Reassigned Medicare billing, District of Columbia enrollment
- 2,492 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10105
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 Lorthe's NPI number?
The NPI number for Mark Lorthe is 1295364495. It was assigned to this individual provider in the NPPES registry on April 8, 2020. The provider is also known as Mark Yanni Lorthe MD.
Where is Mark Lorthe located?
Mark Lorthe practices at 1345 Avenue Of The Americas Fl 8, New York, NY 10105. The listed phone number is (844) 824-8963.
What is Mark Lorthe's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mark Lorthe enrolled in Medicare?
Yes. Mark Lorthe 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 organization bills Medicare for Mark Lorthe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Lorthe reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Annapolis, MD). The 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 Lorthe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Lorthe accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mark Lorthe 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 Lorthe was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mark Louis Lorthe, MD · NPI 1295364495
Family Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 8, 2020.
## Identity
- **NPI:** 1295364495 (Entity type: Individual)
- **Enumerated:** April 8, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 312531 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1345 AVENUE OF THE AMERICAS FL 8, New York, NY 10105-0018
- **Phone:** (844) 824-8963
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1952461816, Annapolis, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Howard University College Of Medicine, class of 2020
## Record status
- **NPPES last updated:** April 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1295364495) · Data from the CMS NPPES public registry.