MARK F. PICONE D.O.
NPI 1538169644
Internal Medicine - Interventional Cardiology in Austin, TX

Q: What is Mark Picone's NPI number?

The NPI number for Mark Picone is 1538169644. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Q: What is Mark Picone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Mark Picone was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 29, 2005PECOS Enrolled

83.7/100

CMS Quality Rating

3801 N LAMAR BLVD, STE. 300, AUSTIN, TX 78756(512) 206-3600(512) 454-2581 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

On this page

About Mark F. Picone D.o. NPPES

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

MARK F. PICONE D.O. (NPI 1538169644) is an individual interventional cardiology provider in Austin, Texas, licensed in Texas (I4094) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538169644

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameMARK F. PICONECredential: D.O.

Location Address3801 N LAMAR BLVD, STE. 300Austin, TX 78756-4080

Mailing Address7800 Shoal Creek Blvd, Suite 205nAustin, TX 78757-1098 · (512) 206-4341 · Fax (512) 407-1947

Phone(512) 206-3600

Fax(512) 454-2581

Sole ProprietorNo

Enumeration DateJuly 29, 2005

Last NPPES UpdateFebruary 10, 2022

✔ NPI 1538169644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in TX · I4094

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License L4094 (TX)

3801 N LAMAR BLVD, Austin, TX 78756

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Other Identifiers 1

Medicaid1507667-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark F. Picone D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 22

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.

201 services186 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

93 services91 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

66 services66 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

58 services58 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

58 services51 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

56 services41 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.

42 services16 patients

Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475

This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.

27 services20 patients

Ultrasound of both sides of head and neck blood flow 93880

23 services23 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

21 services21 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

20 services19 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

20 services20 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

18 services17 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

17 services17 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.

16 services16 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.

16 services16 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

15 services15 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

15 services15 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

14 services14 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

13 services13 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

13 services13 patients

Review by radiologist of both arms or legs arteries image 75716

This procedure involves a radiologist examining images of your arm or leg arteries. These images help identify any blockages or abnormalities in the blood vessels that could affect circulation. It's a vital step in diagnosing conditions related to blood flow.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78756 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

$131.95 typical visit price

range $57.88 – $174.00

Typical copayment $32.98 (range $14.47 – $43.50)

Most-billed visit code 99204

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

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.

83.7/100

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

Individually scored

Quality

80.82

Improvement Activities

Reported Quality Measures

Controlling High Blood Pressure

75%430 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

25%36 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%1,120 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

74%560 patients3/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

27%278 patients2/55-star benchmark: 61%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

94%581 patients5/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 577 patients

Patients totalRate: 0% · 577 patients

0%577 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 20

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

APRIL KWON APRN-CNP

Nurse Practitioner (Family)

3801 N LAMAR BLVD
AUSTIN, TX 78756

Travis County (512) 407-7000

TODD PARICIO M.D

Anesthesiology

3801 N LAMAR BLVD
AUSTIN, TX 78756

Travis County (512) 407-8444

ARTHUR M SMITH MD

Internal Medicine (Interventional Cardiology)

3801 N LAMAR BLVD, STE 300
AUSTIN, TX 78756

Travis County (512) 206-3600

WILLIAM E MCCARRON MD

Internal Medicine (Cardiovascular Disease)

3801 N LAMAR BLVD, STE 300, AUSTIN HEART PA
AUSTIN, TX 78756

Travis County (512) 206-3600

DR. SARAH KAITLYN MONTGOMERY

Nurse Practitioner (Family)

3801 N LAMAR BLVD
AUSTIN, TX 78756

Travis County (512) 407-8258

ERIN NEAL FNP

Nurse Practitioner (Family)

3801 N LAMAR BLVD, STE 300
AUSTIN, TX 78756

Travis County (512) 206-3600

PATRICIA BRITT ACNS-BC

Clinical Nurse Specialist (Adult Health)

3801 N LAMAR BLVD, SUITE 300
AUSTIN, TX 78756

Travis County (512) 206-3600

MRS. NANCY SUSAN ROSE CNS

Clinical Nurse Specialist (Adult Health)

3801 N LAMAR BLVD, STE. 300
AUSTIN, TX 78756

Travis County (512) 206-3601

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 Picone's NPI number?

The NPI number for Mark Picone is 1538169644. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Mark Picone located?

Mark Picone practices at 3801 N Lamar Blvd Ste. 300, Austin, TX 78756. The listed phone number is (512) 206-3600.

What is Mark Picone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Mark Picone enrolled in Medicare?

Yes. Mark Picone is registered in the Medicare PECOS enrollment system.

What insurance does Mark Picone accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Mark Picone 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 Picone was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.