MARK BOONYASAMPANT M.D.
NPI 1396037537
Pathology - Anatomic Pathology & Clinical Pathology in Fullerton, CA

Active since May 06, 2011PECOS EnrolledAccepts Medicare Assignment
101 E VALENCIA MESA DR, FULLERTON, CA 92835(510) 388-7271(714) 446-7546 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 7, 2017 (2 updates tracked since 2017).

About Mark Boonyasampant M.d. NPPES

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

MARK BOONYASAMPANT M.D. (NPI 1396037537) is an individual anatomic pathology & clinical pathology provider in Fullerton, California, licensed in California (A126158) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2011).

NPPES Registry Identity

NPI1396037537
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameMARK BOONYASAMPANTCredential: M.D.
Location Address101 E VALENCIA MESA DRFullerton, CA 92835-3809
Mailing Address101 E Valencia Mesa DrFullerton, CA 92835-3809 · (510) 388-7271 · Fax (714) 446-7546
Fax(714) 446-7546
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 2011
Enumeration DateMay 6, 2011
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1396037537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in CA · A126158
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
101 E VALENCIA MESA DR, Fullerton, CA 92835

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 Boonyasampant 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 ID8123392883
PECOS Enrollment IDI20170919000867
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 23

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,031 services604 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
525 services135 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
204 services174 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
160 services144 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
125 services37 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
123 services73 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92835 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

Internal Medicine
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Neurological Surgery
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Anesthesiology
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Nurse Practitioner (Family)
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Pharmacist (Pharmacotherapy)
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Nurse Practitioner (Family)
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Anesthesiology
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Respiratory Therapist, Registered (Neonatal/Pediatrics)
101 E VALENCIA MESA DR
FULLERTON, CA 92835

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 Boonyasampant's NPI number?

The NPI number for Mark Boonyasampant is 1396037537. It was assigned to this individual provider in the NPPES registry on May 6, 2011.

Where is Mark Boonyasampant located?

Mark Boonyasampant practices at 101 E Valencia Mesa Dr, Fullerton, CA 92835. The listed phone number is (510) 388-7271.

What is Mark Boonyasampant's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Mark Boonyasampant enrolled in Medicare?

Yes. Mark Boonyasampant 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.

When was this NPI record last updated?

The NPPES record for Mark Boonyasampant was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.