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DR. MARK ANTHONY FRATTALI M.D.
NPI 1649270174
Otolaryngology in Scranton, PA

Active since July 27, 2005PECOS EnrolledAccepts Medicare Assignment
300 LACKAWANNA AVE STE 200, SCRANTON, PA 18503(570) 342-7864(570) 840-1259 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Anthony Frattali M.d. NPPES

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

DR. MARK ANTHONY FRATTALI M.D. (NPI 1649270174) is an individual otolaryngology provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD046121L) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Hahnemann University College Of Medicine (1989).

NPPES Registry Identity

NPI1649270174
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MARK ANTHONY FRATTALICredential: M.D.
Location Address300 LACKAWANNA AVE STE 200Scranton, PA 18503-2001
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Phone(570) 342-7864
Fax(570) 840-1259
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1989
Enumeration DateJuly 27, 2005
Last NPPES UpdateDecember 30, 2021
NPPES CertifiedDecember 30, 2021
✔ NPI 1649270174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in PA · MD046121L
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
300 LACKAWANNA AVE STE 200, Scranton, PA 18503
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Other Identifiers 1

Medicaid001469575001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Anthony Frattali 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 ID5395752703
PECOS Enrollment IDI20060309000434
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 10

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.
641 services442 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.
410 services237 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.
322 services322 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
203 services151 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
178 services106 patients
Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
31 services31 patients

Hospital Affiliations CMS Care Compare 5

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390125
Location601 Park StreetHonesdale, PA 18431 · Wayne County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390237
Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County
Emergency services Birthing friendly

Lehigh Valley Hospital - Dickson City

Acute Care Hospitals · Dickson City, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390338
Location330 Main StreetDickson City, PA 18519 · Lackawanna County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18503 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 20

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

DR. KEITH MICHAEL PRITCHYK M.D.
Otolaryngology
300 LACKAWANNA AVE STE 200
SCRANTON, PA 18503
Lackawanna County (570) 342-7864
LEHIGH VALLEY PHYSICIAN GROUP
Internal Medicine (Gastroenterology)
300 LACKAWANNA AVE STE 200
SCRANTON, PA 18503
Lackawanna County (570) 342-7864
KATIE NICOLE WOLFGANG PA-C
Physician Assistant (Medical)
300 LACKAWANNA AVE STE 200
SCRANTON, PA 18503
Lackawanna County (610) 402-6986
JULIE ANN SILINSKIE PA-C
Physician Assistant
300 LACKAWANNA AVE STE 200
SCRANTON, PA 18503
Lackawanna County (570) 342-7864
NISHANTH VALLUMSETLA
Internal Medicine (Pulmonary Disease)
300 LACKAWANNA AVE STE 200
SCRANTON, PA 18503
Lackawanna County (570) 342-7864
DR. HENRY NOVROSKI DO
Family Medicine
300 LACKAWANNA AVE STE 200
SCRANTON, PA 18503
Lackawanna County (570) 800-7515
MATTHEW LOECHER MD
Urology
300 LACKAWANNA AVE STE 200
SCRANTON, PA 18503
Lackawanna County (570) 342-7864
LEHIGH VALLEY PHYSICIAN GROUP
Internal Medicine
300 LACKAWANNA AVE STE 200
SCRANTON, PA 18503
Lackawanna County (570) 342-7864

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 Frattali's NPI number?

The NPI number for Mark Frattali is 1649270174. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Where is Mark Frattali located?

Mark Frattali practices at 300 Lackawanna Ave Ste 200, Scranton, PA 18503. The listed phone number is (570) 342-7864.

What is Mark Frattali's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mark Frattali enrolled in Medicare?

Yes. Mark Frattali 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 Frattali accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mark Frattali 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 Frattali affiliated with any hospitals?

According to CMS data, Mark Frattali is affiliated with Geisinger-Community Medical Center, Wayne Memorial Hospital, Lehigh Valley Hospital - Pocono, Regional Hospital Of Scranton and Lehigh Valley Hospital - Dickson City.

When was this NPI record last updated?

The NPPES record for Mark Frattali was last updated on December 30, 2021. 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.