DR. MARK WINSTON HARGROVE DO
NPI 1427686872
Hospitalist in Newport News, VA

Q: What is Mark Hargrove's NPI number?

The NPI number for Mark Hargrove is 1427686872. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Q: What is Mark Hargrove's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Hargrove was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment

500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601(757) 594-3580 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Mark Winston Hargrove Do NPPES

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

DR. MARK WINSTON HARGROVE DO (NPI 1427686872) is an individual hospitalist provider in Newport News, Virginia, licensed in Virginia (0102207918) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2020).

NPPES Registry Identity

NPI1427686872

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. MARK WINSTON HARGROVECredential: DO

Location Address500 J CLYDE MORRIS BLVDNewport News, VA 23601-1929

Mailing Address856 J Clyde Morris Blvd Ste ANewport News, VA 23601-1318 · (757) 316-5800

Phone(757) 594-3580

Sole ProprietorNo

Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2020

Enumeration DateMarch 31, 2020

Last NPPES UpdateJanuary 18, 2024

NPPES CertifiedJanuary 18, 2024

✔ NPI 1427686872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in VA · 0102207918

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

500 J CLYDE MORRIS BLVD, Newport News, VA 23601

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Winston Hargrove Do 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 ID9133580194

PECOS Enrollment IDI20230807003158

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

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

Riverside Physician Services, Inc.

1.2 mi

Emergency Medicine

500 J CLYDE MORRIS BLVD
Newport News, VA 23601

Reassigned Medicare billing, Virginia enrollment
1,097 clinicians in this Medicare group

NPI 1487771655 (757) 594-4006

Emergency Medicine Associates P.A., P.C.

128 mi

Internal Medicine

501 SUNSET LN
Culpeper, VA 22701

Reassigned Medicare billing, Virginia enrollment
1,294 clinicians in this Medicare group

NPI 1881559102 (540) 829-4100

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

Areas of Expertise CMS Part B claims 6

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.

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.

265 services116 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

135 services60 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

89 services88 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

63 services63 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

38 services21 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

22 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490052

Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County

Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490130

Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23601 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

JOHN JONG HO KIDD CRNA

Nurse Anesthetist, Certified Registered

500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601

Newport News City (866) 627-2471

HOLLY LYNN SNYDER GENETIC COUNSELOR

Genetic Counselor, MS

500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601

Newport News City (757) 494-3636

DR. SARAH JAMES DILL MD

Anesthesiology

500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601

Newport News City (757) 353-0565

DENNIE THOMASSON BARTOL MD

Radiology (Diagnostic Radiology)

500 J CLYDE MORRIS BLVD, RIVERSIDE REGIONAL MEDICAL CENTER
NEWPORT NEWS, VA 23601

Newport News City (757) 594-4405

MARISELA DAVIS DO

Student in an Organized Health Care Education/Training Program

500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601

Newport News City (757) 612-7200

CHARLES E UMSTOTT MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

500 J CLYDE MORRIS BLVD, SUITE 602
NEWPORT NEWS, VA 23601

Newport News City (757) 534-5511

RAYMOND AMAKER MD

Pediatrics (Neonatal-Perinatal Medicine)

500 J CLYDE MORRIS BLVD, HAMPTON ROADS NEONATOLOGY
NEWPORT NEWS, VA 23601

Newport News City (757) 594-2000

MS. ERICA R NIPPER CRNA

Nurse Anesthetist, Certified Registered

500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601

Newport News City (757) 594-2000

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 Hargrove's NPI number?

The NPI number for Mark Hargrove is 1427686872. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Mark Hargrove located?

Mark Hargrove practices at 500 J Clyde Morris Blvd, Newport News, VA 23601. The listed phone number is (757) 594-3580.

What is Mark Hargrove's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mark Hargrove enrolled in Medicare?

Yes. Mark Hargrove 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.

Which organizations bill Medicare for Mark Hargrove's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Hargrove reassigns Medicare benefits to 2 organizations: Riverside Physician Services, Inc. (Newport News, VA) and Emergency Medicine Associates P.A., P.C. (Culpeper, VA). 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 Hargrove's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mark Hargrove affiliated with any hospitals?

According to CMS data, Mark Hargrove is affiliated with Riverside Regional Medical Center and Riverside Walter Reed Hospital.

When was this NPI record last updated?

The NPPES record for Mark Hargrove was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.