MARK EDMUND THOMPSON D.O.
NPI 1487646030
Radiology - Therapeutic Radiology in Lake City, FL

Q: What is Mark Thompson's NPI number?

The NPI number for Mark Thompson is 1487646030. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Q: What is Mark Thompson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Therapeutic Radiology, with taxonomy code 2085R0203X.

Q: When was this NPI record last updated?

The NPPES record for Mark Thompson was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

4520 W US HIGHWAY 90, LAKE CITY, FL 32055(352) 755-0601(352) 755-0602 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2025, Feb 16, 2023, Feb 26, 2016 (3 updates tracked since 2016).

On this page

About Mark Edmund Thompson D.o. NPPES

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

MARK EDMUND THOMPSON D.O. (NPI 1487646030) is an individual therapeutic radiology provider in Lake City, Florida, licensed in Florida (OS10194) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Largo, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1487646030

Entity TypeIndividualMale

Primary Taxonomy2085R0203X

Provider Legal NameMARK EDMUND THOMPSONCredential: D.O.

Location Address4520 W US HIGHWAY 90Lake City, FL 32055-8341

Mailing Address104 Woodmont Blvd Ste 500Nashville, TN 37205-2245 · (559) 475-4151 · Fax (559) 421-7004

Phone(352) 755-0601

Fax(352) 755-0602

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateAugust 19, 2005

Last NPPES UpdateMay 5, 20253 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1487646030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Therapeutic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0203X

License✔ Licensed in FL · OS10194

Definition

Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.

Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X · License OS10194 (FL)

4520 W US HIGHWAY 90, Lake City, FL 32055

Open in Google Maps ↗

Secondary Practice Location 1

Location 18787 Bryan Dairy Rd Ste 120Largo, FL 33777-1252 · Phone (727) 320-0200 · Fax (727) 394-8934

Other Identifiers 5

Other310302FL · Avmed

Other02484FL · Blue Cross Blue Shield

OtherPTAN AG644EFL · Linked To Group Ptan Ie881a Effective 08/01/2015

Medicaid0825156OH

Medicaid279300800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

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 Edmund Thompson D.o. 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 ID6002706983

PECOS Enrollment IDI20251009000109

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 Thompson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake City Cancer Care LLC

0.1 mi

Hematology & Oncology

289 SW STONEGATE TER, SUITE 103
Lake City, FL 32024

Reassigned Medicare billing, Florida enrollment
11 clinicians in this Medicare group

NPI 1396132213 (386) 755-1655

Bardmoor Cancer Center LLC

159 mi

Radiation Oncology

8787 BRYAN DAIRY RD, SUITE 120
Largo, FL 33777

Reassigned Medicare billing, Florida enrollment
3 clinicians in this Medicare group

NPI 1811923386 (727) 320-0200

Piedmont Providers LLC

314 mi

Internal Medicine

220 J L WHITE DR STE 120
Jasper, GA 30143

Reassigned Medicare billing, Georgia enrollment
689 clinicians in this Medicare group

NPI 1548273592 (770) 801-2500

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 29

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

2,951 services30 patients

Ct guidance for insertion of radiation therapy fields 77014

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

816 services44 patients

Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session G6015

Intensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulatingâ€”or controllingâ€”the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.

490 services21 patients

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev G6012

Radiation therapy involves directing high-energy particles to destroy cancer cells. The technique targets 3 or more areas, using custom blocks for precise focus. Tangential ports, wedges, and rotational beams adjust the radiation's path, while compensators balance radiation dose. Electron beam therapy with 6-10 mev energy is used for deep-seated tumors.

351 services25 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

321 services56 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

249 services54 patients

Nuclear medicine study from skull base to mid-thigh with ct scan 78815

A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.

189 services140 patients

Continuing radiation therapy consultation per week 77336

Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.

184 services54 patients

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries A9552

Fluorodeoxyglucose F-18 FDG is a radioactive drug used in PET scans. It helps doctors see how your tissues and organs are functioning. The drug is given in a specific dose, up to 45 millicuries, depending on your body size and the type of scan.

175 services128 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

172 services43 patients

Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie A9596

Gallium Ga-68 Gozetotide (Illuccix) is a diagnostic procedure using a radioactive tracer. It helps visualize certain types of tumors in your body by injecting a small amount of radioactive material. This is safe and aids doctors in accurate diagnosis and treatment planning.

145 services27 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

77 services58 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

69 services60 patients

Cranial lesion surgery using radiation over multiple sessions 77373

Cranial lesion surgery using radiation involves targeting abnormal tissue in the brain with high-energy rays. This non-invasive procedure is done over multiple sessions to gradually destroy the lesion without harming healthy tissue. It's a precise, painless process often used when traditional surgery isn't possible.

67 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

49 services49 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

47 services45 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

41 services34 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

38 services32 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

37 services32 patients

Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved 77290

This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.

30 services23 patients

3d radiation therapy planning 77295

3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.

29 services22 patients

Nuclear medicine study whole body with ct scan 78816

A Nuclear Medicine Study with a CT Scan is a diagnostic procedure. It uses a small amount of radioactive substance and a CT scan to create detailed images of your body. These images help doctors diagnose, monitor, and treat various conditions.

22 services17 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

19 services16 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

17 services17 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

16 services16 patients

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.

16 services11 patients

Special radiation treatment 77470

Special radiation treatment is a medical procedure that uses high-energy rays to destroy or damage cancer cells. It's a targeted approach that aims to minimize harm to healthy tissues. The treatment duration varies based on individual health conditions.

14 services11 patients

Management of cranial lesion surgery using radiation over multiple sessions 77435

This procedure involves using targeted radiation to treat a lesion in the brain over several sessions. The radiation destroys the abnormal cells, helping to control or eliminate the lesion. It's a non-invasive treatment, meaning no surgical cuts are made.

13 services13 patients

Ct scan of abdomen and pelvis before and after contrast 74178

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

11 services11 patients

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%163 patients5/55-star benchmark: 100%

Breast Cancer Screening

28%46 patients2/55-star benchmark: 93%

Cervical Cancer Screening

17%23 patients1/55-star benchmark: 98%

Colorectal Cancer Screening

40%137 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

71%45 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

83%357 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

96%157 patients4/55-star benchmark: 100%

Oncology: Medical and Radiation - Pain Intensity Quantified

8%90 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

57%219 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

81%220 patients4/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 93% · 100 patients

Patients screened: 96% · 100 patients

88%24 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 166 patients

Patients totalRate: 1% · 166 patients

0%166 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

DR. JOHN J BERGIN MD

Radiology (Radiation Oncology)

4520 W US HIGHWAY 90
LAKE CITY, FL 32055

Columbia County (386) 755-0601

LAKE CITY CANCER CARE LLC

Internal Medicine (Hematology & Oncology)

4520 W US HIGHWAY 90
LAKE CITY, FL 32055

Columbia County (352) 755-0601

DR. LOUISE C WASZAK PHD, ARNP, FNP-BC

Nurse Practitioner (Family)

4520 W US HIGHWAY 90
LAKE CITY, FL 32055

Columbia County (386) 719-3939

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 Thompson's NPI number?

The NPI number for Mark Thompson is 1487646030. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Mark Thompson located?

Mark Thompson practices at 4520 W Us Highway 90, Lake City, FL 32055. The listed phone number is (352) 755-0601.

What is Mark Thompson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Therapeutic Radiology, with taxonomy code 2085R0203X.

Is Mark Thompson enrolled in Medicare?

Yes. Mark Thompson 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 Thompson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Thompson reassigns Medicare benefits to 3 organizations: Lake City Cancer Care LLC (Lake City, FL), Bardmoor Cancer Center LLC (Largo, FL) and Piedmont Providers LLC (Jasper, GA). 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 Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Thompson accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mark Thompson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Thompson was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.