DR. MARK M CASILLAS M.D.
NPI 1598709305
Orthopaedic Surgery - Foot and Ankle Surgery in San Antonio, TX

Q: What is Mark Casillas's NPI number?

The NPI number for Mark Casillas is 1598709305. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Mark Casillas's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Q: When was this NPI record last updated?

The NPPES record for Mark Casillas 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 June 15, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1139 E SONTERRA BLVD STE 205, SAN ANTONIO, TX 78258(210) 874-3359 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2022, Dec 13, 2019, Nov 19, 2019 and 1 more (4 updates tracked since 2019).

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About Dr. Mark M Casillas M.d. NPPES

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

DR. MARK M CASILLAS M.D. (NPI 1598709305) is an individual foot and ankle surgery provider in San Antonio, Texas, licensed in Texas (J1917) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (1991).

NPPES Registry Identity

NPI1598709305

Entity TypeIndividualMale

Primary Taxonomy207XX0004X

Provider Legal NameDR. MARK M CASILLASCredential: M.D.

Location Address1139 E SONTERRA BLVD STE 205San Antonio, TX 78258-4349

Mailing Address1139 E Sonterra Blvd Ste 205San Antonio, TX 78258-4349 · (210) 874-3359 · Fax (210) 874-3369

Phone(210) 874-3359

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1991

Enumeration DateJune 15, 2006

Last NPPES UpdateFebruary 10, 20224 updates tracked since enumeration

NPPES CertifiedDecember 13, 2019

✔ NPI 1598709305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XX0004X

License✔ Licensed in TX · J1917

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License J1917 (TX)

1139 E SONTERRA BLVD STE 205, San Antonio, TX 78258

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Other Identifiers 5

Other1676698TX · Cigna

OtherP00088532TX · Railroad Medicare

Medicaid048005502TX

Other5972563TX · Aetna

Other8K6270TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas 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 and accepts Medicare assignment

Dr. Mark M Casillas 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 ID446152284

PECOS Enrollment IDI20040122001026

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 14

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 foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

338 services230 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.

303 services196 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

219 services167 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.

124 services124 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.

64 services51 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.

58 services58 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.

47 services45 patients

Correction of toe joint deformity 28285

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

26 services14 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

22 services22 patients

Incision of achilles tendon under anesthesia 27606

This procedure involves making a small cut in your Achilles tendon, the strong fibrous cord at the back of your ankle, while you are under anesthesia. It's done to relieve tension or repair a tear, aiding in pain reduction and improving mobility.

21 services21 patients

Reconstruction of ankle joint with prosthesis 27702

Reconstruction of the ankle joint with a prosthesis is a surgical procedure to replace a damaged ankle with an artificial joint. This is done to alleviate pain, improve mobility, and restore function in individuals with severe ankle conditions.

20 services20 patients

Fusion of big toe at joint with foot 28750

Fusion of the big toe at the joint with the foot, also known as arthrodesis, is a surgical procedure aimed at relieving pain and improving stability. It involves permanently connecting the bones of the big toe and foot, which can limit movement but often enhances comfort and function.

17 services16 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.

14 services13 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450007

Location551 Hill Country DriveKerrville, TX 78028 · Kerr County

Emergency services Birthing friendly

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450058

Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County

Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number670055

Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County

Emergency services Birthing friendly

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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%2,629 patients5/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

77%919 patients4/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%754 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

49%1,627 patients3/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

30%1,389 patients2/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 60% · 505 patients

Patients tobacco: 17% · 24 patients

54%505 patients3/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

86%1,627 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

14%1,627 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

47%1,627 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L1960

DME-Orthotic Devices · category DF003N

3 suppliers15 claims15 services$432.19 avg. paid by Medicare

Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad L2270

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$41.86 avg. paid by Medicare

Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined L2275

DME-Orthotic Devices · category DF000N

3 suppliers15 claims15 services$101.87 avg. paid by Medicare

Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only L2755

DME-Orthotic Devices · category DF000N

2 suppliers14 claims25 services$109.56 avg. paid by Medicare

Addition to lower extremity orthosis, soft interface for molded plastic, below knee section L2820

DME-Orthotic Devices · category DF000N

2 suppliers15 claims15 services$67.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 6

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

DR. JEREMY LEE DICKERSON MD

Family Medicine (Sports Medicine)