DR. MARK THOMAS POYNTER M.D.
NPI 1659358109
Surgery in Batavia, OH

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
2055 HOSPITAL DR, STE, 355, BATAVIA, OH 45103(513) 732-9300(513) 732-5663 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Thomas Poynter M.d. NPPES

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

DR. MARK THOMAS POYNTER M.D. (NPI 1659358109) is an individual surgery provider in Batavia, Ohio, licensed in Ohio (35079261) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and is a graduate of Indiana University School Of Medicine (1997).

NPPES Registry Identity

NPI1659358109
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MARK THOMAS POYNTERCredential: M.D.
Location Address2055 HOSPITAL DR, STE, 355Batavia, OH 45103
Mailing Address2055 Hospital Dr, Ste, 355Batavia, OH 45103-1978 · (513) 732-9300 · Fax (513) 732-5663
Fax(513) 732-5663
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1997
Enumeration DateDecember 27, 2005
Last NPPES UpdateSeptember 5, 2018
NPI 1659358109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in OH · 35079261
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2055 HOSPITAL DR, Batavia, OH 45103

Other Identifiers 2

Other2829992OH · Aetna
Medicaid2324265OH

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

Dr. Mark Thomas Poynter 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 ID9032233176
PECOS Enrollment IDI20100826000673
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 14

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services28 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.
29 services29 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.
25 services25 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
22 services22 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360236
Location3000 Hospital DriveBatavia, OH 45103 · Clermont County
Emergency services

Adams County Regional Medical Center

Critical Access Hospitals · Seaman, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number361326
Location230 Medical Center DriveSeaman, OH 45679 · Adams County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45103 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 17

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

Nurse Practitioner
2055 HOSPITAL DR, SUITE 300
BATAVIA, OH 45103
Home Infusion
2055 HOSPITAL DR, SUITE 310
BATAVIA, OH 45103
Internal Medicine
2055 HOSPITAL DR, SUITE 300
BATAVIA, OH 45103
Surgery
2055 HOSPITAL DR, SUITE 335
BATAVIA, OH 45103
Obstetrics & Gynecology
2055 HOSPITAL DR, SUITE 130
BATAVIA, OH 45103
Internal Medicine (Pulmonary Disease)
2055 HOSPITAL DR, STE 200
BATAVIA, OH 45103
Internal Medicine (Gastroenterology)
2055 HOSPITAL DR, SUITE 325
BATAVIA, OH 45103
Internal Medicine (Cardiovascular Disease)
2055 HOSPITAL DR, SUITE 340
BATAVIA, OH 45103

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 Poynter's NPI number?

The NPI number for Mark Poynter is 1659358109. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Mark Poynter located?

Mark Poynter practices at 2055 Hospital Dr Ste, 355, Batavia, OH 45103. The listed phone number is (513) 732-9300.

What is Mark Poynter's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mark Poynter enrolled in Medicare?

Yes. Mark Poynter 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 Poynter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Mark Poynter 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 Poynter affiliated with any hospitals?

According to CMS data, Mark Poynter is affiliated with Mercy Health-Anderson Hospital, Mercy Health - Clermont Hospital and Adams County Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Poynter was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.