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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARK CHRISTOPHER CAMPBELL M.D.
NPI 1306841952
Internal Medicine - Endocrinology, Diabetes & Metabolism in Altoona, PA

Active since June 20, 2005PECOS Enrolled
615 HOWARD AVE, STE 106, ALTOONA, PA 16601(814) 949-2950(814) 949-2960 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Christopher Campbell M.d. NPPES

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

DR. MARK CHRISTOPHER CAMPBELL M.D. (NPI 1306841952) is an individual endocrinology, diabetes & metabolism provider in Altoona, Pennsylvania, licensed in Pennsylvania (MD419670) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1992).

NPPES Registry Identity

NPI1306841952
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. MARK CHRISTOPHER CAMPBELLCredential: M.D.
Location Address615 HOWARD AVE, STE 106Altoona, PA 16601-4813
Mailing Address615 Howard Ave, Ste 106Altoona, PA 16601-4813 · (814) 949-2950 · Fax (814) 949-2960
Phone(814) 949-2950
Fax(814) 949-2960
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1992
Enumeration DateJune 20, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1306841952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in PA · MD419670
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
615 HOWARD AVE, Altoona, PA 16601
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Other Identifiers 7

Other73685PA · Geisinger Health Plan
Other2205695PA · United Healthcare
Other7288373PA · Aetna Provider Pin#
Medicaid0019123370005PA
Other1526324PA · Gateway Health Plan
Other000000160767PA · Unison Provider Pin #
Other310596PA · Upmc Health Plan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Mark Christopher Campbell M.d. 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 ID7517931686
PECOS Enrollment IDI20040824000778
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 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.

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.
61 services33 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
30 services13 patients
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.
28 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390056
Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County
Emergency services

Conemaugh Nason Medical Center

Acute Care Hospitals · Roaring Spring, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390062
Location105 Nason DriveRoaring Spring, PA 16673 · Blair County
Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390117
Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16601 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
100%21 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
37%234 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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
16 suppliers86 claims316 services$6.40 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers27 claims46 services$1.10 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers249 claims252 services$187.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

FIRST CHOICE CHIROPRACTIC, LLC
Chiropractor
615 HOWARD AVE, SUITE 101
ALTOONA, PA 16601
Blair County (814) 946-4000
DR. MICHAEL C SALTZBURG DO
Orthopaedic Surgery
615 HOWARD AVE, SUITE 200
ALTOONA, PA 16601
Blair County (814) 946-3336
BRETTON MEDICAL LLC
Durable Medical Equipment & Medical Supplies
615 HOWARD AVE, SUITE 210
ALTOONA, PA 16601
Blair County (814) 946-9909
MRS. LORI ANN STANGL LSW
Social Worker
615 HOWARD AVE, SUITE 212
ALTOONA, PA 16601
Blair County (814) 934-2398
DR. PETER JOSEPH O'DONNELL PSYCHOLOGIST
Psychologist (Clinical)
615 HOWARD AVE, STE 214
ALTOONA, PA 16601
Blair County (814) 355-8215
MRS. LAURA ANN BANE CRNP
Nurse Practitioner
615 HOWARD AVE, SUITE 105
ALTOONA, PA 16601
Blair County (814) 941-7090
MRS. JANICE ANNE FORAN PTAIS
Physical Medicine & Rehabilitation
615 HOWARD AVE
ALTOONA, PA 16601
Blair County (814) 943-0222
MISS LINDA SUE CAMBERG LCSW
Social Worker (Clinical)
615 HOWARD AVE, EXECUTIVE HOUSE, SUITE 213
ALTOONA, PA 16601
Blair County (814) 414-7596

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 Campbell's NPI number?

The NPI number for Mark Campbell is 1306841952. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Mark Campbell located?

Mark Campbell practices at 615 Howard Ave Ste 106, Altoona, PA 16601. The listed phone number is (814) 949-2950.

What is Mark Campbell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Mark Campbell enrolled in Medicare?

Yes. Mark Campbell 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 Campbell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mark Campbell 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 Campbell affiliated with any hospitals?

According to CMS data, Mark Campbell is affiliated with Penn Highlands Huntingdon, Conemaugh Nason Medical Center, Upmc Altoona, Conemaugh Memorial Medical Center and Upmc Bedford Memorial.

When was this NPI record last updated?

The NPPES record for Mark Campbell 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 25 days 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.