DR. MARK CONWAY M.D.
NPI 1538145040
Obstetrics & Gynecology in Nashua, NH

Active since December 16, 2005PECOS EnrolledAccepts Medicare Assignment
90.85/100
CMS Quality Rating
168 KINSLEY ST STE 20, NASHUA, NH 03060(603) 883-3365(603) 883-5758 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Mark Conway M.d. NPPES

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

DR. MARK CONWAY M.D. (NPI 1538145040) is an individual obstetrics & gynecology provider in Nashua, New Hampshire, licensed in New Hampshire (8988) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of New York Medical College (1989).

NPPES Registry Identity

NPI1538145040
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARK CONWAYCredential: M.D.
Location Address168 KINSLEY ST STE 20Nashua, NH 03060-3634
Mailing AddressC/o St Mary's Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04243-7291 · (077) 778-6952 · Fax (207) 777-8800
Fax(603) 883-5758
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1989
Enumeration DateDecember 16, 2005
Last NPPES UpdateSeptember 1, 2020
NPPES CertifiedAugust 28, 2020
✔ NPI 1538145040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NH · 8988
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.
168 KINSLEY ST STE 20, Nashua, NH 03060

Other Identifiers 1

Medicaid80000198NH

Accepted Insurance

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

Dr. Mark Conway 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 ID3870562606
PECOS Enrollment IDI20040929000264
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 5

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 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.
54 services52 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
42 services23 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
37 services37 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
21 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Hospital

Acute Care Hospitals · Nashua, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number300011
Location172 Kinsley StNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03060 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

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.

90.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.14
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Advanced Practice Midwife
168 KINSLEY ST STE 20
NASHUA, NH 03060
Obstetrics & Gynecology
168 KINSLEY ST STE 20
NASHUA, NH 03060
Obstetrics & Gynecology
168 KINSLEY ST STE 20
NASHUA, NH 03060
Advanced Practice Midwife
168 KINSLEY ST STE 20
NASHUA, NH 03060
Advanced Practice Midwife
168 KINSLEY ST STE 20
NASHUA, NH 03060
Advanced Practice Midwife
168 KINSLEY ST STE 20
NASHUA, NH 03060
Advanced Practice Midwife
168 KINSLEY ST STE 20
NASHUA, NH 03060
Obstetrics & Gynecology
168 KINSLEY ST STE 20
NASHUA, NH 03060

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 Conway's NPI number?

The NPI number for Mark Conway is 1538145040. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Mark Conway located?

Mark Conway practices at 168 Kinsley St Ste 20, Nashua, NH 03060. The listed phone number is (603) 883-3365.

What is Mark Conway's specialty?

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

Is Mark Conway enrolled in Medicare?

Yes. Mark Conway 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.

What insurance does Mark Conway accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Mark Conway 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.

Is Mark Conway affiliated with any hospitals?

According to CMS data, Mark Conway is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Mark Conway was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.