MARK D RADER MD
NPI 1396734950
Obstetrics & Gynecology in Hyndman, PA

Active since October 17, 2005PECOS Enrolled
144 5TH AVE, HYNDMAN, PA 15545(814) 842-3206 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mark D Rader Md NPPES

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

MARK D RADER MD (NPI 1396734950) is an individual obstetrics & gynecology provider in Hyndman, Pennsylvania, licensed in Pennsylvania (MD012147E) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Ganado.

NPPES Registry Identity

NPI1396734950
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMARK D RADERCredential: MD
Location Address144 5TH AVEHyndman, PA 15545-7379
Mailing AddressPo Box 457, Sage Memorial HospitalGanado, AZ 86505-0457 · (928) 755-4500 · Fax (928) 755-4659
Sole ProprietorYes
Enumeration DateOctober 17, 2005
Last NPPES UpdateJanuary 18, 2019
✔ NPI 1396734950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD012147E
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.
144 5TH AVE, Hyndman, PA 15545

Secondary Practice Location 1

Location 1Highway 265 West & Junction 191 South, Sage Memorial HospitalGanado, AZ 86505 · Phone (928) 755-4500 · Fax (928) 755-4659

Other Identifiers 3

Other60680733NM · Medicaid
Medicaid821430AZ
Medicaid000699472PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark D Rader Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Rader reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
859 E. MELTON DRIVE
Jay, OK 74346
  • Reassigned Medicare billing, Texas enrollment
  • 1,047 clinicians in this Medicare group
Clinic/Center
535 AIRPORT RD
Hoopa, CA 95546
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Kima-W Medical Center
  • 33 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15545 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 16

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

Clinic/Center (Federally Qualified Health Center (FQHC))
144 5TH AVE
HYNDMAN, PA 15545
Internal Medicine
144 5TH AVE
HYNDMAN, PA 15545
Family Medicine
144 5TH AVE
HYNDMAN, PA 15545
Clinic/Center (Federally Qualified Health Center (FQHC))
144 5TH AVE
HYNDMAN, PA 15545
Dentist (General Practice)
144 5TH AVE
HYNDMAN, PA 15545
Dentist
144 5TH AVE
HYNDMAN, PA 15545
Nurse Practitioner (Family)
144 5TH AVE
HYNDMAN, PA 15545
Family Medicine
144 5TH AVE
HYNDMAN, PA 15545

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 Rader's NPI number?

The NPI number for Mark Rader is 1396734950. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Mark Rader located?

Mark Rader practices at 144 5th Ave, Hyndman, PA 15545. The listed phone number is (814) 842-3206.

What is Mark Rader's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mark Rader enrolled in Medicare?

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

Which organizations bill Medicare for Mark Rader's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Rader reassigns Medicare benefits to 2 organizations: Cherokee Nation (Jay, OK) and K'ima:w Medical Center (Hoopa, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Rader's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Rader was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.