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MARK ANDREW MCGILL M.D.
NPI 1437595238
Pediatrics - Pediatric Cardiology in Center Valley, PA

Active since May 20, 2013PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
5425 LANARK RD, CENTER VALLEY, PA 18034(484) 658-5437(833) 214-0127 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 21, 2022, Jul 5, 2018 (2 updates tracked since 2018).

About Mark Andrew Mcgill M.d. NPPES

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

MARK ANDREW MCGILL M.D. (NPI 1437595238) is an individual pediatric cardiology provider in Center Valley, Pennsylvania, licensed in Pennsylvania (MD472398) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2013).

NPPES Registry Identity

NPI1437595238
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameMARK ANDREW MCGILLCredential: M.D.
Location Address5425 LANARK RDCenter Valley, PA 18034-8697
Mailing Address5425 Lanark RdCenter Valley, PA 18034-8697 · (207) 662-6562
Phone(484) 658-5437
Fax(833) 214-0127
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2013
Enumeration DateMay 20, 2013
Last NPPES UpdateOctober 23, 20252 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1437595238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in PA · MD472398
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 62323 (MN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5425 LANARK RD, Center Valley, PA 18034
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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

Mark Andrew Mcgill 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 ID5193967578
PECOS Enrollment IDI20210713001954
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 Reassignment

Medicare enrollment records show Mark Mcgill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Luke's Physician Group, Inc.
Same address
Pediatric Endocrinology
5445 LANARK RD
Center Valley, PA 18034
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1194306647 (484) 526-7300

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

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

JOELLE EMILY BUCHTER
Occupational Therapist
5425 LANARK RD
CENTER VALLEY, PA 18034
Lehigh County (866) 785-8537
CHRISTINA ROSE WITMER MS CCC-SLP
Speech-Language Pathologist
5425 LANARK RD
CENTER VALLEY, PA 18034
Lehigh County (484) 822-6111
JULIE N ROHE PA-C
Physician Assistant (Medical)
5425 LANARK RD
CENTER VALLEY, PA 18034
Lehigh County (484) 653-5437
MS. JORDAN HECKLER MS OTR/L
Occupational Therapist (Pediatrics)
5425 LANARK RD
CENTER VALLEY, PA 18034
Lehigh County (484) 822-6111
HASSAN MUHAMMAD ABDULLAH M.D.
Pediatrics (Pediatric Gastroenterology)
5425 LANARK RD
CENTER VALLEY, PA 18034
Lehigh County (484) 658-5437
STEPHANIE RITA STRAKA D.O.
Pediatrics (Developmental - Behavioral Pediatrics)
5425 LANARK RD
CENTER VALLEY, PA 18034
Lehigh County (484) 658-5758
DR. CASSIDY GRATHER PT, DPT
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
5425 LANARK RD
CENTER VALLEY, PA 18034
Lehigh County (484) 658-5437
JULIA ARDITO M.A. CF-SLP
Speech-Language Pathologist
5425 LANARK RD
CENTER VALLEY, PA 18034
Lehigh County (484) 822-6111

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 Mcgill's NPI number?

The NPI number for Mark Mcgill is 1437595238. It was assigned to this individual provider in the NPPES registry on May 20, 2013.

Where is Mark Mcgill located?

Mark Mcgill practices at 5425 Lanark Rd, Center Valley, PA 18034. The listed phone number is (484) 658-5437.

What is Mark Mcgill's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Mark Mcgill enrolled in Medicare?

Yes. Mark Mcgill 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 organization bills Medicare for Mark Mcgill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Mcgill reassigns Medicare benefits to St. Luke's Physician Group, Inc. (Center Valley, PA). The 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 Mcgill'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 Mcgill was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.