MR. MARK L DILLINGHAM PA
NPI 1568495448
Physician Assistant in Kilgore, TX

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
1711 S HENDERSON BLVD, SUITE 100, KILGORE, TX 75662(903) 315-3800(903) 984-5367 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mark L Dillingham Pa NPPES

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

MR. MARK L DILLINGHAM PA (NPI 1568495448) is an individual physician assistant in Kilgore, Texas, licensed in Texas (PA01791) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1568495448
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MARK L DILLINGHAMCredential: PA
Location Address1711 S HENDERSON BLVD, SUITE 100Kilgore, TX 75662-3563
Mailing AddressPo Box 4207Longview, TX 75606-4207
Fax(903) 984-5367
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 7, 2006
Last NPPES UpdateJune 19, 2013
NPI 1568495448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA01791
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1711 S HENDERSON BLVD, Kilgore, TX 75662

Other Identifiers 1

Medicare UPINS93454TX

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

Mr. Mark L Dillingham Pa 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 ID42216913
PECOS Enrollment IDI20061017000283
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75662 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 5

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

Family Medicine
1711 S HENDERSON BLVD, SUITE 300
KILGORE, TX 75662
Durable Medical Equipment & Medical Supplies
1711 S HENDERSON BLVD, #100
KILGORE, TX 75662
Nurse Practitioner (Family)
1711 S HENDERSON BLVD
KILGORE, TX 75662
Pharmacy (Community/Retail Pharmacy)
1711 S HENDERSON BLVD
KILGORE, TX 75662
General Practice
1711 S HENDERSON BLVD, SUITE 100
KILGORE, TX 75662

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 Dillingham's NPI number?

The NPI number for Mark Dillingham is 1568495448. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Mark Dillingham located?

Mark Dillingham practices at 1711 S Henderson Blvd Suite 100, Kilgore, TX 75662. The listed phone number is (903) 315-3800.

What is Mark Dillingham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mark Dillingham enrolled in Medicare?

Yes. Mark Dillingham 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 Dillingham accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Mark Dillingham 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 Dillingham was last updated on June 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.