MARK FAM DO
NPI 1659012623
Family Medicine in Fort Myers, FL

Q: What is Mark Fam's NPI number?

The NPI number for Mark Fam is 1659012623. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Mark Fam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Fam was last updated on December 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 April 05, 2022PECOS EnrolledAccepts Medicare Assignment

2780 CLEVELAND AVE STE 709, FORT MYERS, FL 33901(239) 343-2371 Get Directions Write a Review

NPPES record last updated: December 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2025, Nov 7, 2025, Mar 28, 2025 and 2 more (5 updates tracked since 2022).

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About Mark Fam Do NPPES

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

MARK FAM DO (NPI 1659012623) is an individual family medicine provider in Fort Myers, Florida, licensed in Florida (OS20402) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2022).

NPPES Registry Identity

NPI1659012623

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARK FAMCredential: DO

Location Address2780 CLEVELAND AVE STE 709Fort Myers, FL 33901-5857

Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 821-8038

Phone(239) 343-2371

Sole ProprietorNo

Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2022

Enumeration DateApril 5, 2022

Last NPPES UpdateDecember 7, 20255 updates tracked since enumeration

NPPES CertifiedDecember 7, 2025

✔ NPI 1659012623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS20402

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.

2780 CLEVELAND AVE STE 709, Fort Myers, FL 33901

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Other Identifiers 2

Medicaid119884600FL

OtherQR9XSFL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Mark Fam Do 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 ID840645826

PECOS Enrollment IDI20231011001583

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 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.

30 services30 patients

Hospital Affiliations CMS Care Compare

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

Tampa General Hospital

Acute Care Hospitals · Tampa, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100128

Location1 Tampa General CirTampa, FL 33606 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33901 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

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.

MANUELLA CONSTANTINO SIDEROPOULOS DO

Family Medicine