MARK WILLIAM MEMOLO MD
NPI 1386627115
Radiology - Diagnostic Radiology in Gastonia, NC

Active since November 25, 2005PECOS EnrolledAccepts Medicare Assignment
92.56/100
CMS Quality Rating
620 SUMMIT CROSSING PL, STE 106, GASTONIA, NC 28054(704) 867-8021(704) 864-4606 Get Directions Write a Review

NPPES record last updated: August 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark William Memolo Md NPPES

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

MARK WILLIAM MEMOLO MD (NPI 1386627115) is an individual diagnostic radiology provider in Gastonia, North Carolina, licensed in North Carolina (33274) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1987).

NPPES Registry Identity

NPI1386627115
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK WILLIAM MEMOLOCredential: MD
Location Address620 SUMMIT CROSSING PL, STE 106Gastonia, NC 28054
Mailing Address620 Summit Crossing Pl, Ste 106Gastonia, NC 28054 · (704) 867-8021 · Fax (704) 864-4606
Fax(704) 864-4606
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1987
Enumeration DateNovember 25, 2005
Last NPPES UpdateAugust 23, 2010
NPI 1386627115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NC · 33274
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 33274 (NC)
620 SUMMIT CROSSING PL, Gastonia, NC 28054

Other Identifiers 11

Other1642996United Healthcare
Other300061402Railroad Medicare
Medicare UPINE81247
MedicaidN33274SC
Medicaid8958609NC
Other12402Partners
Medicare ID-Type Unspecified213214C
Other4630736Aetna Ppo
Other2353109Aetna Hmo
Other73411Medcost
Other58609Blue Cross Blue Shield

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

Mark William Memolo Md 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 ID9931398666
PECOS Enrollment IDI20110112000417
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 44

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
447 services402 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
404 services404 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
403 services403 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
105 services102 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
103 services99 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
83 services80 patients

Hospital Affiliations CMS Care Compare 2

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

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

92.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.25
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
99%732 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%376 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
94%52 patients
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.

Other Providers at the Same Location NPPES 18

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

Physical Therapist
620 SUMMIT CROSSING PL, STE 305
GASTONIA, NC 28054
Radiology (Diagnostic Radiology)
620 SUMMIT CROSSING PL, STE 106
GASTONIA, NC 28054
Radiology (Diagnostic Radiology)
620 SUMMIT CROSSING PL, STE 106
GASTONIA, NC 28054
Radiology (Diagnostic Radiology)
620 SUMMIT CROSSING PL, STE 106
GASTONIA, NC 28054
Radiology (Diagnostic Radiology)
620 SUMMIT CROSSING PL, STE 106
GASTONIA, NC 28054
Radiology (Vascular & Interventional Radiology)
620 SUMMIT CROSSING PL, STE 106
GASTONIA, NC 28054
Radiology (Diagnostic Radiology)
620 SUMMIT CROSSING PL, STE 106
GASTONIA, NC 28054
Physical Therapist
620 SUMMIT CROSSING PL, STE 305
GASTONIA, NC 28054

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 Memolo's NPI number?

The NPI number for Mark Memolo is 1386627115. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is Mark Memolo located?

Mark Memolo practices at 620 Summit Crossing Pl Ste 106, Gastonia, NC 28054. The listed phone number is (704) 867-8021.

What is Mark Memolo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Memolo enrolled in Medicare?

Yes. Mark Memolo 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 Memolo accept?

Health plans from Blue Cross and Blue Shield of NC list Mark Memolo 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 Memolo affiliated with any hospitals?

According to CMS data, Mark Memolo is affiliated with Caromont Regional Medical Center and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Mark Memolo was last updated on August 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.