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DR. MARK D GWYNNE MD
NPI 1639275100
Family Medicine in Chapel Hill, NC

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
101 MANNING DR, CHAPEL HILL, NC 27599(919) 966-4996(919) 843-5515 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark D Gwynne Md NPPES

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

DR. MARK D GWYNNE MD (NPI 1639275100) is an individual family medicine provider in Chapel Hill, North Carolina, licensed in North Carolina (200400038) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1639275100
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK D GWYNNECredential: MD
Location Address101 MANNING DRChapel Hill, NC 27599-0001
Mailing Address143 W Franklin StChapel Hill, NC 27516-2539 · (919) 966-4996 · Fax (919) 843-5515
Phone(919) 966-4996
Fax(919) 843-5515
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 15, 2006
Last NPPES UpdateMarch 31, 2021
NPPES CertifiedMarch 31, 2021
✔ NPI 1639275100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 200400038
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.
101 MANNING DR, Chapel Hill, NC 27599
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Other Identifiers 1

Medicaid89137AANC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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 D Gwynne 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 ID4981677598
PECOS Enrollment IDI20040812001321
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

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.
32 services23 patients

Hospital Affiliations CMS Care Compare

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27599 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers16 claims16 services$180.04 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.

RICHARD M MONTMENY
Physical Therapist
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-8596
JOSEPH PIVEN MD
Psychiatry & Neurology (Psychiatry)
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-8696
DR. JOE T MINCHEW MD
Orthopaedic Surgery
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-8596
DR. ROBERT V KELLY MD
Internal Medicine (Cardiovascular Disease)
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-4996
DR. GEORGE A STOUFFER III MD
Internal Medicine (Cardiovascular Disease)
101 MANNING DR
CHAPEL HILL, ND 27599
Orange County (919) 966-4131
DR. MARGARET L GULLEY MD
Pathology (Clinical Pathology/Laboratory Medicine)
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-4996
PROF. MARY E VANBOURGONDIEN PH.D.
Psychologist (Clinical)
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-8596
MONICA A BELGADO CRNA
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-4996

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 Gwynne's NPI number?

The NPI number for Mark Gwynne is 1639275100. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Mark Gwynne located?

Mark Gwynne practices at 101 Manning Dr, Chapel Hill, NC 27599. The listed phone number is (919) 966-4996.

What is Mark Gwynne's specialty?

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

Is Mark Gwynne enrolled in Medicare?

Yes. Mark Gwynne 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 Gwynne accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Mark Gwynne 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 Gwynne affiliated with any hospitals?

According to CMS data, Mark Gwynne is affiliated with Unc Hospitals.

When was this NPI record last updated?

The NPPES record for Mark Gwynne was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.