MARK J KRELL MD
NPI 1558456822
Internal Medicine - Cardiovascular Disease in Summit, NJ

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
84.48/100
CMS Quality Rating
1 SPRINGFIELD AVE STE 2A, SUMMIT, NJ 07901(908) 273-1999(908) 273-1332 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mark J Krell Md NPPES

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

MARK J KRELL MD (NPI 1558456822) is an individual cardiovascular disease provider in Summit, New Jersey, licensed in New Jersey (25MA04647200) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of New York Medical College (1979).

NPPES Registry Identity

NPI1558456822
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMARK J KRELLCredential: MD
Location Address1 SPRINGFIELD AVE STE 2ASummit, NJ 07901-4055
Mailing AddressPo Box 95000, Lb 7685Philadelphia, PA 19195-7550 · (844) 362-1735 · Fax (973) 290-7495
Fax(908) 273-1332
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1979
Enumeration DateOctober 4, 2006
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1558456822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NJ · 25MA04647200
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1 SPRINGFIELD AVE STE 2A, Summit, NJ 07901

Other Identifiers 1

Medicaid0273007NJ

Accepted 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 J Krell 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 ID1850204314
PECOS Enrollment IDI20031118000056
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

3

Medicare enrollment records show Mark Krell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
ONE SPRINGFIELD AVE. STE. 2A
Summit, NJ 07901
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
Emergency Medicine
465 SOUTH ST STE 200
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 37 clinicians in this Medicare group
Legal Medicine
100 MADISON AVE
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 161 clinicians in this Medicare group

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 23

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.
1,569 services681 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.
765 services562 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
281 services35 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.
253 services203 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.
215 services172 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.
165 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07901 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

84.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability97
Improvement Activities40
Cost50.78

Reported Quality Measures

Advance Care Plan
100%1,221 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
90%1,007 patients4/55-star benchmark: 98%
Coronary Artery Disease (CAD): Antiplatelet Therapy
100%495 patients5/55-star benchmark: 100%
e-Prescribing
99%1,369 patients4/55-star benchmark: 100%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
100%21 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,715 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
94%818 patients4/55-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

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

Nurse Practitioner
1 SPRINGFIELD AVE STE 2A
SUMMIT, NJ 07901

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 Krell's NPI number?

The NPI number for Mark Krell is 1558456822. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Mark Krell located?

Mark Krell practices at 1 Springfield Ave Ste 2A, Summit, NJ 07901. The listed phone number is (908) 273-1999.

What is Mark Krell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mark Krell enrolled in Medicare?

Yes. Mark Krell 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 Krell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Krell reassigns Medicare benefits to 3 organizations: Summit Cardiology, LLC (Summit, NJ), Atlantic Health Partners (Morristown, NJ) and Cardiovascular Health Consultants, P.A. (Morristown, NJ). 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 Krell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Krell accept?

Health plans from Oscar Health list Mark Krell 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 Krell affiliated with any hospitals?

According to CMS data, Mark Krell is affiliated with Morristown Medical Center and Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Krell was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.