DR. MARK A PETERMAN MD
NPI 1386752939
Internal Medicine - Interventional Cardiology in Plano, TX

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
84.98/100
CMS Quality Rating
6124 W PARKER RD, SUITE 536, PLANO, TX 75093(972) 378-9560(844) 290-4363 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2023, Sep 23, 2022 (2 updates tracked since 2022).

About Dr. Mark A Peterman Md NPPES

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

DR. MARK A PETERMAN MD (NPI 1386752939) is an individual interventional cardiology provider in Plano, Texas, licensed in Texas (L3431) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2000).

NPPES Registry Identity

NPI1386752939
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. MARK A PETERMANCredential: MD
Location Address6124 W PARKER RD, SUITE 536Plano, TX 75093-8122
Mailing Address16980 Dallas Pkwy, Suite 200Dallas, TX 75248-1908 · (972) 378-9560 · Fax (844) 290-4363
Fax(844) 290-4363
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2000
Enumeration DateAugust 25, 2006
Last NPPES UpdateMay 19, 20232 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
NPI 1386752939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in TX · L3431
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License L3431 (TX)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License L3431 (TX)
6124 W PARKER RD, Plano, TX 75093

Other Identifiers 1

Medicaid186343301TX

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

Dr. Mark A Peterman 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 ID7618978511
PECOS Enrollment IDI20070119000237
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 37

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.
791 services575 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
784 services642 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
656 services163 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.
418 services371 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
371 services364 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
365 services130 patients

Hospital Affiliations CMS Care Compare 2

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

84.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.32
Promoting Interoperability100
Improvement Activities40
Cost63.62

Reported Quality Measures

Advance Care Plan
45%1,545 patients2/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
14%35 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
71%1,171 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
86%76 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
84%554 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
97%79 patients4/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
97%302 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
85%3,006 patients4/55-star benchmark: 100%
e-Prescribing
98%1,347 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%1,208 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%1,976 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
26%896 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 72% · 714 patients
71%714 patients
Provide Patients Electronic Access to Their Health Information
95%835 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
90%1,100 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,257 patients
Patients totalRate: 0% · 1,257 patients
0%1,257 patients5/55-star benchmark: 100%
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 20

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

Obstetrics & Gynecology
6124 W PARKER RD, STE 134
PLANO, TX 75093
Clinic/Center (Ambulatory Surgical)
6124 W PARKER RD, PRESBYTERIAN HOSPITAL # 232
PLANO, TX 75093
Clinic/Center (Medical Specialty)
6124 W PARKER RD, MEDICAL OFFICE BUILDING 3, SUITE #330
PLANO, TX 75093
Internal Medicine (Interventional Cardiology)
6124 W PARKER RD, SUITE 536
PLANO, TX 75093
Psychiatry & Neurology (Neurology)
6124 W PARKER RD, SUITE 432
PLANO, TX 75093
Internal Medicine (Pulmonary Disease)
6124 W PARKER RD, SUITE 530
PLANO, TX 75093
Internal Medicine
6124 W PARKER RD, MOB III SUITE 234
PLANO, TX 75093
Physician Assistant
6124 W PARKER RD, #536
PLANO, TX 75093

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 Peterman's NPI number?

The NPI number for Mark Peterman is 1386752939. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Mark Peterman located?

Mark Peterman practices at 6124 W Parker Rd Suite 536, Plano, TX 75093. The listed phone number is (972) 378-9560.

What is Mark Peterman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Mark Peterman enrolled in Medicare?

Yes. Mark Peterman 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 Peterman accept?

Health plans from Imperial Insurance Companies, Inc. and Oscar Insurance Company list Mark Peterman 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 Peterman affiliated with any hospitals?

According to CMS data, Mark Peterman is affiliated with Texas Health Presbyterian Hospital Plano and Texas Health Hospital Frisco.

When was this NPI record last updated?

The NPPES record for Mark Peterman was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.