MARK DANIEL PEGRAM M.D.
NPI 1356361554
Internal Medicine - Medical Oncology in Stanford, CA

Active since July 20, 2006PECOS Enrolled
76.5/100
CMS Quality Rating
300 PASTEUR DR FL 1, STANFORD, CA 94305(650) 723-4000 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Daniel Pegram M.d. NPPES

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

MARK DANIEL PEGRAM M.D. (NPI 1356361554) is an individual medical oncology provider in Stanford, California, licensed in California (A46221) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356361554
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameMARK DANIEL PEGRAMCredential: M.D.
Location Address300 PASTEUR DR FL 1Stanford, CA 94305-2200
Mailing Address300 Pasteur Dr Fl 1Stanford, CA 94305-2200 · (650) 723-4000
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateApril 16, 2024
NPPES CertifiedApril 16, 2024
NPI 1356361554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in CA · A46221
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal MedicineTaxonomy 207R00000X · License A46221 (CA)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License A46221 (CA)
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License A46221 (CA)
300 PASTEUR DR FL 1, Stanford, CA 94305

Other Identifiers 1

Medicaid00A462210CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mark Daniel Pegram 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.

Areas of Expertise CMS Part B claims 2

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.
32 services12 patients
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.
28 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94305 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
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

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 Pegram's NPI number?

The NPI number for Mark Pegram is 1356361554. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Mark Pegram located?

Mark Pegram practices at 300 Pasteur Dr Fl 1, Stanford, CA 94305. The listed phone number is (650) 723-4000.

What is Mark Pegram's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Mark Pegram enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Pegram was last updated on April 16, 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.