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MARK R TONELLI
NPI 1649360504
Internal Medicine - Pulmonary Disease in Seattle, WA

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 598-4615 Get Directions Write a Review

NPPES record last updated: January 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark R Tonelli NPPES

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

MARK R TONELLI (NPI 1649360504) is an individual pulmonary disease provider in Seattle, Washington, licensed in Washington (MD00030937) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of University Of Colorado School Of Medicine, Denver (1989).

NPPES Registry Identity

NPI1649360504
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMARK R TONELLI
Location AddressUNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC STSeattle, WA 98195-6166
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 543-6420
Phone(206) 598-4615
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1989
Enumeration DateOctober 13, 2006
Last NPPES UpdateJanuary 21, 2012
✔ NPI 1649360504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in WA · MD00030937
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD00030937 (WA)
UNIVERSITY OF WASHINGTON MEDICAL CTR, Seattle, WA 98195
Open in Google Maps ↗

Other Identifiers 5

Other2884Internal Id-motor Vehicle Id
Other0232068WA · L&i
Medicaid1649360504WA
Medicare UPINF14529
Medicare PIN000121210WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Mark R Tonelli 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 ID3678533361
PECOS Enrollment IDI20041018000126
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 8

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.
61 services50 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.
59 services34 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.
32 services27 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.
28 services28 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.
21 services18 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.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98195 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers30 claims30 services$67.54 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers28 claims28 services$34.34 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims84 services$2.50 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers15 claims15 services$17.65 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers18 claims20 services$12.64 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$25.56 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.

BRENDA M SANDMAIER
Internal Medicine (Hematology & Oncology)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 288-1000
PATRICK C FREENY
Radiology (Diagnostic Radiology)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 598-6214
GEORGE A OJEMANN
Neurological Surgery
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 598-5637
CAROL M BUCHTER
Internal Medicine (Cardiovascular Disease)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 598-4300
MARSHALL SCOTT HORWITZ
Medical Genetics (Clinical Genetics (M.D.))
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 616-2135
CORINNE LINA FLIGNER
Pathology (Anatomic Pathology & Clinical Pathology)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 598-6400
EDUS HOUSTON WARREN III
Internal Medicine (Hematology & Oncology)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 288-1000
GREGORY DEMBO
Anesthesiology
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 543-8606

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 Tonelli's NPI number?

The NPI number for Mark Tonelli is 1649360504. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Mark Tonelli located?

Mark Tonelli practices at University Of Washington Medical Ctr 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 598-4615.

What is Mark Tonelli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mark Tonelli enrolled in Medicare?

Yes. Mark Tonelli 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 Tonelli accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mark Tonelli 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 Tonelli affiliated with any hospitals?

According to CMS data, Mark Tonelli is affiliated with University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for Mark Tonelli was last updated on January 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.