DR. MARK L. PFAUTSCH DO
NPI 1538175203
Radiology - Diagnostic Radiology in Cape Girardeau, MO

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703(573) 334-6071(573) 334-4739 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark L. Pfautsch Do NPPES

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

DR. MARK L. PFAUTSCH DO (NPI 1538175203) is an individual diagnostic radiology provider in Cape Girardeau, Missouri, licensed in Missouri (R8A13) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Southeast, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1979).

NPPES Registry Identity

NPI1538175203
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MARK L. PFAUTSCHCredential: DO
Location Address70 DOCTORS PARKCape Girardeau, MO 63703-4928
Mailing Address70 Doctors ParkCape Girardeau, MO 63703-4928 · (573) 334-6071 · Fax (573) 334-4739
Fax(573) 334-4739
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1979
Enumeration DateAugust 1, 2006
Last NPPES UpdateApril 29, 2021
NPPES CertifiedApril 29, 2021
NPI 1538175203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MO · R8A13
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

70 DOCTORS PARK, Cape Girardeau, MO 63703

Other Identifiers 7

Other063896Health Alliance
Medicaid242662005MO
Other430954380CAPMercy Health Plan
Other036-077507IL · Il Blue Cross Blue Shield
Medicaid143794001AR
Other185214MO · 185214
Other187175Healthlink

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 L. Pfautsch Do 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 ID42279481
PECOS Enrollment IDI20080829000383, I20110118000801, I20230703002440
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 96

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,679 services1,263 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
610 services555 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
610 services585 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
359 services350 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.
318 services317 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.
237 services234 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260110
Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County
Emergency services Birthing friendly

Poplar Bluff Regional Medical Center

Acute Care Hospitals · Poplar Bluff, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260119
Location3100 Oak Grove RoadPoplar Bluff, MO 63901 · Butler County
Emergency services Birthing friendly

Mercy Hospital Stoddard

Acute Care Hospitals · Dexter, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260160
Location1200 N One Mile RdDexter, MO 63841 · Stoddard County
Emergency services

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260183
Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County
Emergency services Birthing friendly

Ste Genevieve County Memorial Hospital

Critical Access Hospitals · Sainte Genevieve, MO
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261330
Location800 Ste Genevieve Drive, PO Box 468Sainte Genevieve, MO 63670 · Ste. Genevieve County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63703 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%27 patients
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 19

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

Radiology (Diagnostic Radiology)
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Radiology (Diagnostic Radiology)
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Radiology (Nuclear Radiology)
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Radiology (Diagnostic Radiology)
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Radiology (Diagnostic Radiology)
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Radiology (Diagnostic Radiology)
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Radiology (Diagnostic Radiology)
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Radiology (Diagnostic Radiology)
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703

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 Pfautsch's NPI number?

The NPI number for Mark Pfautsch is 1538175203. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Mark Pfautsch located?

Mark Pfautsch practices at 70 Doctors Park, Cape Girardeau, MO 63703. The listed phone number is (573) 334-6071.

What is Mark Pfautsch's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Pfautsch enrolled in Medicare?

Yes. Mark Pfautsch 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 Pfautsch accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Mark Pfautsch 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 Pfautsch affiliated with any hospitals?

According to CMS data, Mark Pfautsch is affiliated with Mercy Hospital Southeast, Poplar Bluff Regional Medical Center, Mercy Hospital Stoddard, Saint Francis Medical Center and Ste Genevieve County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mark Pfautsch was last updated on April 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.