MARK R. THIELE MD
NPI 1467593715
Family Medicine in Henderson, NV

Active since February 09, 2007PECOS EnrolledAccepts Medicare Assignment
595 W LAKE MEAD PKWY, HENDERSON, NV 89015(702) 565-1007(702) 565-0836 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 20, 2022, Nov 18, 2019 (2 updates tracked since 2019).

About Mark R. Thiele Md NPPES

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

MARK R. THIELE MD (NPI 1467593715) is an individual family medicine provider in Henderson, Nevada, licensed in Nevada (20364) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1467593715
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK R. THIELECredential: MD
Location Address595 W LAKE MEAD PKWYHenderson, NV 89015-7015
Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346 · Fax (702) 671-6883
Fax(702) 565-0836
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 9, 2007
Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
NPI 1467593715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NV · 20364 Licensed in FL · ME104257
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

595 W LAKE MEAD PKWY, Henderson, NV 89015

Secondary Practice Locations 2

Location 19400 University Pkwy, Suite 409Pensacola, FL 32514-5752 · Phone (850) 208-6160 · Fax (850) 208-6169
Location 21200 Gulf Breeze Pkwy Ste BGulf Breeze, FL 32561 · Phone (850) 916-3680 · Fax (850) 916-3689

Other Identifiers 3

Medicaid001662200FL
Other20364NV · State License
Medicaid1467593715NV

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 R. Thiele 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 ID6800938358
PECOS Enrollment IDI20210115001976
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

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.
18 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89015 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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 16

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

Family Medicine
595 W LAKE MEAD PKWY
HENDERSON, NV 89015
Physician Assistant
595 W LAKE MEAD PKWY
HENDERSON, NV 89015
Family Medicine
595 W LAKE MEAD PKWY
HENDERSON, NV 89015
Physician Assistant
595 W LAKE MEAD PKWY
HENDERSON, NV 89015
Family Medicine
595 W LAKE MEAD PKWY
HENDERSON, NV 89015
Internal Medicine
595 W LAKE MEAD PKWY
HENDERSON, NV 89015
Internal Medicine
595 W LAKE MEAD PKWY
HENDERSON, NV 89015
Nurse Practitioner (Family)
595 W LAKE MEAD PKWY
HENDERSON, NV 89015

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 Thiele's NPI number?

The NPI number for Mark Thiele is 1467593715. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Mark Thiele located?

Mark Thiele practices at 595 W Lake Mead Pkwy, Henderson, NV 89015. The listed phone number is (702) 565-1007.

What is Mark Thiele's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Thiele enrolled in Medicare?

Yes. Mark Thiele 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 Thiele was last updated on October 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.