DR. MARK KAL M.D.
NPI 1316937931
Family Medicine in Gualala, CA

Active since October 25, 2005PECOS Enrolled
73.79/100
CMS Quality Rating
46900 OCEAN DR, GUALALA, CA 95445(707) 884-4005(707) 884-9728 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark Kal M.d. NPPES

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

DR. MARK KAL M.D. (NPI 1316937931) is an individual family medicine provider in Gualala, California, licensed in California (G56821) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316937931
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK KALCredential: M.D.
Location Address46900 OCEAN DRGualala, CA 95445-8353
Mailing AddressPo Box 1100Gualala, CA 95445-1100 · (707) 884-4005 · Fax (707) 884-9728
Fax(707) 884-9728
Sole ProprietorNo
Enumeration DateOctober 25, 2005
Last NPPES UpdateAugust 4, 2014
NPI 1316937931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G56821
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
46900 OCEAN DR, Gualala, CA 95445

Other Identifiers 3

Medicare PINBM922YCA
OtherP01070319CA · Railroad Medicare
Medicare UPINA53191

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mark Kal M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95445 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

73.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.87
Promoting Interoperability92
Improvement Activities40
Cost36.93

Referred Medical Equipment & Supplies CMS DME claims 2

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
5 suppliers17 claims42 services$5.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$119.41 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 10

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

Physician Assistant
46900 OCEAN DR, STE 1100
GUALALA, CA 95445
Physician Assistant
46900 OCEAN DR
GUALALA, CA 95445
Nurse Practitioner
46900 OCEAN DR
GUALALA, CA 95445
Registered Nurse
46900 OCEAN DR
GUALALA, CA 95445
Internal Medicine (Cardiovascular Disease)
46900 OCEAN DR
GUALALA, CA 95445
Dentist (General Practice)
46900 OCEAN DR
GUALALA, CA 95445
Nurse Practitioner (Family)
46900 OCEAN DR
GUALALA, CA 95445
Nurse Practitioner (Family)
46900 OCEAN DR
GUALALA, CA 95445

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 Kal's NPI number?

The NPI number for Mark Kal is 1316937931. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Mark Kal located?

Mark Kal practices at 46900 Ocean Dr, Gualala, CA 95445. The listed phone number is (707) 884-4005.

What is Mark Kal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Kal enrolled in Medicare?

Yes. Mark Kal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Kal was last updated on August 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.