MARK JOSEPH OBERTHALER PA-C
NPI 1649688243
Physician Assistant in Wayne, NJ

Q: What is Mark Oberthaler's NPI number?

The NPI number for Mark Oberthaler is 1649688243. It was assigned to this individual provider in the NPPES registry on July 27, 2014.

Q: What is Mark Oberthaler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Oberthaler was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 27, 2014PECOS EnrolledAccepts Medicare Assignment

94.95/100

CMS Quality Rating

504 VALLEY RD, WAYNE, NJ 07470(973) 694-2690 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark Joseph Oberthaler Pa-c NPPES

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

MARK JOSEPH OBERTHALER PA-C (NPI 1649688243) is an individual physician assistant in Wayne, New Jersey, licensed in New Jersey (ER25MP00337700) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Holy Name Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1649688243

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMARK JOSEPH OBERTHALERCredential: PA-C

Location Address504 VALLEY RDWayne, NJ 07470-3534

Mailing Address504 Valley RdWayne, NJ 07470-3534 · (973) 694-2690

Phone(973) 694-2690

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 27, 2014

Last NPPES UpdateJuly 28, 2014

✔ NPI 1649688243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NJ · ER25MP00337700

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

504 VALLEY RD, Wayne, NJ 07470

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Mark Joseph Oberthaler Pa-c 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 ID7810217932

PECOS Enrollment IDI20150513000914

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 12

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.

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322

Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.

539 services14 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.

168 services97 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

84 services20 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

58 services39 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

54 services24 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

31 services23 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

31 services30 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.

30 services28 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

24 services18 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.

19 services19 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

12 services12 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310008

Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County

Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310045

Location350 Engle StEnglewood, NJ 07631 · Bergen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

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.

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.

94.95/100

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

Scored through an Alternative Payment Model

Quality

87.26

Promoting Interoperability

100

Improvement Activities

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.

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

1 supplier11 claims11 services$41.51 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.

DR. MORDECAI M. WITKIN D.P.M.

Podiatrist (Primary Podiatric Medicine)

504 VALLEY RD
WAYNE, NJ 07470

Passaic County (973) 696-6677

UNIVERSITY SPINE CENTER, P.C.

Specialist

504 VALLEY RD, 2ND FLOOR
WAYNE, NJ 07470

Passaic County (973) 686-0700

DR. ANTHONY NMI FESTA MD

Orthopaedic Surgery (Sports Medicine)

504 VALLEY RD, SUITE 200
WAYNE, NJ 07470

Passaic County (973) 694-2690

MR. KUMAR GAUTAM SINHA M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

504 VALLEY RD, STE 203
WAYNE, NJ 07470

Passaic County (973) 686-0700

DR. KI SOO HWANG M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

504 VALLEY RD, 2ND FLOOR
WAYNE, NJ 07470

Passaic County (973) 686-0700

SIGNAL NEUROMONITORING, LLC

Specialist/Technologist, Other (Electroneurodiagnostic)

504 VALLEY RD
WAYNE, NJ 07470

Passaic County (973) 686-0700

DR. DOUGLAS JOSEPH BORKOWSKI M.D.

General Practice

504 VALLEY RD, SUITE 200
WAYNE, NJ 07470

Passaic County (973) 694-2690

CRAIG WRIGHT M.D.

Orthopaedic Surgery (Orthopaedic Trauma)

504 VALLEY RD, SUITE 200
WAYNE, NJ 07470

Passaic County (973) 694-2690

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 Oberthaler's NPI number?

The NPI number for Mark Oberthaler is 1649688243. It was assigned to this individual provider in the NPPES registry on July 27, 2014.

Where is Mark Oberthaler located?

Mark Oberthaler practices at 504 Valley Rd, Wayne, NJ 07470. The listed phone number is (973) 694-2690.

What is Mark Oberthaler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mark Oberthaler enrolled in Medicare?

Yes. Mark Oberthaler 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 Oberthaler accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Mark Oberthaler 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 Oberthaler affiliated with any hospitals?

According to CMS data, Mark Oberthaler is affiliated with Holy Name Medical Center and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Oberthaler was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.