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DR. MARK C BRISTOL M.D.
NPI 1316380629
Emergency Medicine in Sayre, PA

Active since April 17, 2013PECOS EnrolledAccepts Medicare Assignment
ONE GUTHRIE SQUARE, GUTHRIE / ROBERT PACKER HOSPITAL, SAYRE, PA 18840(570) 887-3585 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Mark C Bristol M.d. NPPES

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

DR. MARK C BRISTOL M.D. (NPI 1316380629) is an individual emergency medicine provider in Sayre, Pennsylvania, licensed in New York (307503) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1316380629
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARK C BRISTOLCredential: M.D.
Location AddressONE GUTHRIE SQUARE, GUTHRIE / ROBERT PACKER HOSPITALSayre, PA 18840
Mailing Address674 Paddle Wheel Ct WMillersville, MD 21108-1519 · (267) 847-1738
Phone(570) 887-3585
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 17, 2013
Last NPPES UpdateMay 21, 2021
NPPES CertifiedMay 21, 2021
✔ NPI 1316380629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 307503
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.
ONE GUTHRIE SQUARE, Sayre, PA 18840
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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 C Bristol 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 ID2163711235
PECOS Enrollment IDI20210525000055
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 Bristol reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nes Medical Services Of New York PC
16 mi
Emergency Medicine
555 SAINT JOSEPHS BLVD
Elmira, NY 14901
  • Reassigned Medicare billing, New York enrollment
  • 72 clinicians in this Medicare group
NPI 1831742816 (607) 737-7806
Port City Emergency Physicians LLP
75 mi
Emergency Medicine
150 BROAD ST
Hamilton, NY 13346
  • Reassigned Medicare billing, New York enrollment
  • 129 clinicians in this Medicare group
NPI 1316395460 (315) 824-1100
Mvhs Inc
101 mi
Family Medicine
111 HOSPITAL DR
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 657 clinicians in this Medicare group
NPI 1770690737 (315) 917-9966
Emergency Physician Services Of New York, P.C.
135 mi
Emergency Medicine
241 NORTH RD
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 356 clinicians in this Medicare group
NPI 1093759847 (845) 483-5000
Samaritan Medical Center
139 mi
Rehabilitation Unit
830 WASHINGTON ST
Watertown, NY 13601
  • Reassigned Medicare billing, New York enrollment
  • 183 clinicians in this Medicare group
NPI 1093722068 (315) 786-4800

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 4

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.
170 services166 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.
133 services128 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.
74 services73 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.
23 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330157
Location830 Washington StreetWatertown, NY 13601 · Jefferson County
Emergency services Birthing friendly

Rome Memorial Hospital, Inc

Acute Care Hospitals · Rome, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330215
Location1500 North James StreetRome, NY 13440 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18840 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

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.

TANVI WADHWA
Student in an Organized Health Care Education/Training Program
ONE GUTHRIE SQUARE, GUTHRIE/ROBERT PACKER HOSPITAL
SAYRE, PA 18840
Bradford County (570) 888-6666
AYESHA ANWAR MD
Student in an Organized Health Care Education/Training Program
ONE GUTHRIE SQUARE, GUTHRIE/ROBERT PACKER HOSPITAL
SAYRE, PA 18840
Bradford County (570) 888-6666
ASHRAF ULLAH
Student in an Organized Health Care Education/Training Program
ONE GUTHRIE SQUARE, GRADUATE MEDICAL EDUCATION, GUTHRIE/ROBERT PACKER HOSPI
SAYRE, PA 18840
Bradford County (570) 888-6666
MR. SOHAIB KHAN SHABIH M.D
Student in an Organized Health Care Education/Training Program
ONE GUTHRIE SQUARE, ROBERT PACKER HOSPITAL
SAYRE, PA 18840
Bradford County (570) 888-6666
MAHEEN ANWAR MBBS
Student in an Organized Health Care Education/Training Program
ONE GUTHRIE SQUARE, GUTHRIE/ROBERT PACKER HOSPITAL
SAYRE, PA 18840
Bradford County (570) 888-6666
SHANNON MARIE NOBLES
Nurse Practitioner (Psychiatric/Mental Health)
ONE GUTHRIE SQUARE, ROBERT PACKER HOSPITAL
SAYRE, PA 18840
Bradford County (570) 888-6666
MRS. SUCHETHA MOOTHAT JAGAN M.D
Hospitalist
ONE GUTHRIE SQUARE, GRADUATE MEDICAL EDUCATION GUTHRIE
SAYRE, PA 18840
Bradford County (570) 888-6666
PATRICK HARRISON ROWE MD
Student in an Organized Health Care Education/Training Program
ONE GUTHRIE SQUARE, GRADUATE MEDICAL EDUCATION
SAYRE, PA 18840
Bradford County (570) 888-6666

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 Bristol's NPI number?

The NPI number for Mark Bristol is 1316380629. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Where is Mark Bristol located?

Mark Bristol practices at One Guthrie Square Guthrie / Robert Packer Hospital, Sayre, PA 18840. The listed phone number is (570) 887-3585.

What is Mark Bristol's specialty?

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

Is Mark Bristol enrolled in Medicare?

Yes. Mark Bristol 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 Bristol's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Bristol reassigns Medicare benefits to 5 organizations: Nes Medical Services Of New York PC (Elmira, NY), Port City Emergency Physicians LLP (Hamilton, NY), Mvhs Inc (Utica, NY), Emergency Physician Services Of New York, P.C. (Poughkeepsie, NY) and Samaritan Medical Center (Watertown, NY). 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 Bristol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mark Bristol affiliated with any hospitals?

According to CMS data, Mark Bristol is affiliated with Samaritan Medical Center and Rome Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Mark Bristol was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.