MARK J BLUTH MD
NPI 1306817952
Radiology - Diagnostic Radiology in Commack, NY

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment
85.46/100
CMS Quality Rating
650 COMMACK RD, COMMACK, NY 11725(646) 227-3813 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark J Bluth Md NPPES

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

MARK J BLUTH MD (NPI 1306817952) is an individual diagnostic radiology provider in Commack, New York, licensed in New York (185696) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1306817952
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK J BLUTHCredential: MD
Location Address650 COMMACK RDCommack, NY 11725-5404
Mailing Address633 3rd Ave, Box 3New York, NY 10017-6706
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJanuary 31, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1306817952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NY · 185696
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
650 COMMACK RD, Commack, NY 11725

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 J Bluth 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 ID1456549328
PECOS Enrollment IDI20101218000049, I20170125001689
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

5

Medicare enrollment records show Mark Bluth reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Oncology
650 COMMACK RD
Commack, NY 11725
  • Reassigned Medicare billing, New York enrollment
  • 265 clinicians in this Medicare group
Diagnostic Radiology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 302 clinicians in this Medicare group
Medical Oncology
225 SUMMIT AVE
Montvale, NJ 07645
  • Reassigned Medicare billing, New Jersey enrollment
  • 401 clinicians in this Medicare group
Medical Oncology
480 RED HILL RD
Middletown, NJ 07748
  • Reassigned Medicare billing, New Jersey enrollment
  • 464 clinicians in this Medicare group
Medical Oncology
136 MOUNTAIN VIEW BLVD
Basking Ridge, NJ 07920
  • Reassigned Medicare billing, New Jersey enrollment
  • 385 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 17

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.

Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
761 services745 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
717 services702 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
246 services240 patients
Mri scan of abdomen before and after contrast 74183
An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.
175 services171 patients
Ct scan of abdomen and pelvis before and after contrast 74178
A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.
160 services157 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
88 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11725 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

85.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.05
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Dietitian, Registered
650 COMMACK RD
COMMACK, NY 11725
Nurse Practitioner (Family)
650 COMMACK RD
COMMACK, NY 11725
Internal Medicine (Medical Oncology)
650 COMMACK RD
COMMACK, NY 11725
Internal Medicine (Medical Oncology)
650 COMMACK RD
COMMACK, NY 11725
Pharmacist
650 COMMACK RD
COMMACK, NY 11725
Internal Medicine
650 COMMACK RD
COMMACK, NY 11725
Internal Medicine (Medical Oncology)
650 COMMACK RD
COMMACK, NY 11725
Nurse Practitioner (Family)
650 COMMACK RD
COMMACK, NY 11725

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 Bluth's NPI number?

The NPI number for Mark Bluth is 1306817952. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Mark Bluth located?

Mark Bluth practices at 650 Commack Rd, Commack, NY 11725. The listed phone number is (646) 227-3813.

What is Mark Bluth's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Bluth enrolled in Medicare?

Yes. Mark Bluth 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 Bluth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Bluth reassigns Medicare benefits to 5 organizations: Mskcc Regional Network (Commack, NY), Mskcc Radiology Group (New York, NY), Msk Bergen (Montvale, NJ), Msk Monmouth (Middletown, NJ) and Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey (Basking Ridge, NJ). 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 Bluth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Bluth was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.