KRISTINA RAE VANDER MARK M.D.
NPI 1366538860
Obstetrics & Gynecology in Lakeland, FL

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
80.53/100
CMS Quality Rating
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 284-6860 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 18, 2025, Feb 3, 2022, Nov 9, 2015 (3 updates tracked since 2015).

About Kristina Rae Vander Mark M.d. NPPES

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

KRISTINA RAE VANDER MARK M.D. (NPI 1366538860) is an individual obstetrics & gynecology provider in Lakeland, Florida, licensed in Florida (ME170074) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Wayne State University School Of Medicine (2000).

NPPES Registry Identity

NPI1366538860
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKRISTINA RAE VANDER MARKCredential: M.D.
Location Address1324 LAKELAND HILLS BLVDLakeland, FL 33805-4543
Mailing Address22255 Greenfield Rd Ste 352Southfield, MI 48075-3712 · (248) 849-3401 · Fax (248) 849-4106
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2000
Enumeration DateOctober 4, 2006
Last NPPES UpdateFebruary 18, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
NPI 1366538860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in FL · ME170074 Licensed in MI · 4301076692
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 4301076692 (MI)
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 4301076692 (MI)
1324 LAKELAND HILLS BLVD, Lakeland, FL 33805

Secondary Practice Locations 5

Location 16401 Prairie St, Suite 2100Muskegon, MI 49444-7840 · Phone (231) 727-7939 · Fax (231) 727-7935
Location 222255 Greenfield Rd Ste 352Southfield, MI 48075-3712 · Phone (248) 849-3401 · Fax (248) 849-4106
Location 31525 Lakeland Hills BlvdLakeland, FL 33805-3203 · Phone (863) 284-6860
Location 43015 Lakeland Highlands RdLakeland, FL 33803-4339 · Phone (863) 284-6860
Location 51637 Shepherd RdLakeland, FL 33811-2122 · Phone (863) 284-6860

Other Identifiers 1

Medicaid4789630MI

Accepted 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

Kristina Rae Vander Mark 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 ID4789644279
PECOS Enrollment IDI20240909000433
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 33805 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

80.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.56
Promoting Interoperability100
Improvement Activities40
Cost61.55

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients

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.

Psychiatry & Neurology (Psychiatry)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Anesthesiology
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Pharmacist (Pharmacotherapy)
1324 LAKELAND HILLS BLVD, LAKELAND REGIONAL MEDICAL CENTER
LAKELAND, FL 33805
Pharmacist (Pharmacotherapy)
1324 LAKELAND HILLS BLVD, LAKELAND REGIONAL MEDICAL CENTER
LAKELAND, FL 33805
Pharmacist (Pharmacotherapy)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Registered Nurse (Neonatal Intensive Care)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Emergency Medicine
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Psychiatry & Neurology (Neurology)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366538860, enumerated as an "individual" on October 04, 2006.

The provider is located at 1324 LAKELAND HILLS BLVD LAKELAND, FL 33805 and the phone number is (863) 284-6860.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: AvMed, Florida Blue (BlueCross BlueShield FL),. Please consult your insurance carrier or call the provider to verify.