MARK C. ZULLO M.D.
NPI 1588675698
Family Medicine in Wakefield, RI

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
70 KENYON AVE, SUITE 211, WAKEFIELD, RI 02879(401) 789-8543(401) 782-8766 Get Directions Write a Review

NPPES record last updated: April 1, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mark C. Zullo M.d. NPPES

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

MARK C. ZULLO M.D. (NPI 1588675698) is an individual family medicine provider in Wakefield, Rhode Island, licensed in Rhode Island (06480) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with South County Hospital Inc, and is a graduate of Tufts University School Of Medicine (1978).

NPPES Registry Identity

NPI1588675698
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK C. ZULLOCredential: M.D.
Location Address70 KENYON AVE, SUITE 211Wakefield, RI 02879-4239
Mailing Address70 Kenyon Ave, Suite 211Wakefield, RI 02879-4239 · (401) 789-8543 · Fax (401) 782-8766
Fax(401) 782-8766
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1978
Enumeration DateAugust 11, 2006
Last NPPES UpdateApril 1, 2015
✔ NPI 1588675698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in RI · 06480
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
70 KENYON AVE, Wakefield, RI 02879

Other Identifiers 10

Other710716MA · Hphc
Other000000028143MA · Bmc Healthnet
Medicare UPINB56731MA
Other400988Ri Blue Chip
Other0101102Uhc
Other052518MA · Tufts
Other35998MA · Fallon
OtherB10350101MA · Cigna
OtherJ11769MA · Mabc
Medicaid3043355MA

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 C. Zullo 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 ID3577503184
PECOS Enrollment IDI20140930003131
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 Reassignment

Medicare enrollment records show Mark Zullo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
100 KENYON AVE, EMERGENCY DEPARTMENT
Wakefield, RI 02879
  • Reassigned Medicare billing, Rhode Island enrollment
  • Also billed through NPI 1306365812 (Rhode Island)
  • 20 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 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.
58 services57 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.
28 services28 patients
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.
27 services27 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
25 services25 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410008
Location100 Kenyon AveWakefield, RI 02879 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02879 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers51 claims107 services$5.92 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers19 claims19 services$1.09 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers23 claims23 services$35.72 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers11 claims50 services$13.08 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers18 claims18 services$43.62 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers17 claims17 services$17.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
70 KENYON AVE, SUITE 326
WAKEFIELD, RI 02879
Podiatrist (Foot & Ankle Surgery)
70 KENYON AVE, STE 212
WAKEFIELD, RI 02879
Obstetrics & Gynecology
70 KENYON AVE, SUITE 103
WAKEFIELD, RI 02879
Internal Medicine (Cardiovascular Disease)
70 KENYON AVE, SUITE 321
WAKEFIELD, RI 02879
Midwife
70 KENYON AVE, SUITE 103
WAKEFIELD, RI 02879
Internal Medicine (Interventional Cardiology)
70 KENYON AVE
WAKEFIELD, RI 02879
Obstetrics & Gynecology (Gynecology)
70 KENYON AVE
WAKEFIELD, RI 02879
Physician Assistant
70 KENYON AVE, SUITE 215
WAKEFIELD, RI 02879

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 Zullo's NPI number?

The NPI number for Mark Zullo is 1588675698. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Mark Zullo located?

Mark Zullo practices at 70 Kenyon Ave Suite 211, Wakefield, RI 02879. The listed phone number is (401) 789-8543.

What is Mark Zullo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Zullo enrolled in Medicare?

Yes. Mark Zullo 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 organization bills Medicare for Mark Zullo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Zullo reassigns Medicare benefits to Silver Spring Health Care Management, Inc (Wakefield, RI). The 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 Zullo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mark Zullo affiliated with any hospitals?

According to CMS data, Mark Zullo is affiliated with South County Hospital Inc.

When was this NPI record last updated?

The NPPES record for Mark Zullo was last updated on April 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.