MARK JOSEPH GALLARDO M.D.
NPI 1659302099
Ophthalmology in El Paso, TX

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
76/100
CMS Quality Rating
959 SUNLAND PARK DR STE 100, EL PASO, TX 79922(915) 542-0279(915) 542-0156 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2024, Mar 7, 2023 (2 updates tracked since 2023).

About Mark Joseph Gallardo M.d. NPPES

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

MARK JOSEPH GALLARDO M.D. (NPI 1659302099) is an individual ophthalmology provider in El Paso, Texas, licensed in Texas (M1100) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2001).

NPPES Registry Identity

NPI1659302099
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMARK JOSEPH GALLARDOCredential: M.D.
Location Address959 SUNLAND PARK DR STE 100El Paso, TX 79922-1323
Mailing Address959 Sunland Park Dr Ste 100El Paso, TX 79922-1323 · (915) 542-0279 · Fax (915) 542-0156
Fax(915) 542-0156
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2001
Enumeration DateJuly 5, 2006
Last NPPES UpdateNovember 21, 20242 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
NPI 1659302099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · M1100
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
959 SUNLAND PARK DR STE 100, El Paso, TX 79922

Other Identifiers 1

OtherJ0140316TX · Dps Number

Accepted 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 Gallardo 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 ID5890726012
PECOS Enrollment IDI20050827000195
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 19

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
861 services484 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
483 services319 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
479 services436 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
467 services414 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
402 services242 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
377 services377 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79922 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality40
Improvement Activities40
Cost100

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 Gallardo's NPI number?

The NPI number for Mark Gallardo is 1659302099. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Mark Gallardo located?

Mark Gallardo practices at 959 Sunland Park Dr Ste 100, El Paso, TX 79922. The listed phone number is (915) 542-0279.

What is Mark Gallardo's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mark Gallardo enrolled in Medicare?

Yes. Mark Gallardo 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 Gallardo accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Molina Healthcare list Mark Gallardo 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.

When was this NPI record last updated?

The NPPES record for Mark Gallardo was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.