MARK J KOTAPKA MD
NPI 1679542799
Neurological Surgery in Philadelphia, PA

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
5401 OLD YORK ROAD, KLEIN BLDG, STE 501, PHILADELPHIA, PA 19141(215) 456-6127(215) 457-7602 Get Directions Write a Review

NPPES record last updated: December 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark J Kotapka Md NPPES

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

MARK J KOTAPKA MD (NPI 1679542799) is an individual neurological surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PA MD040762E) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of University Of Maryland School Of Medicine (1985).

NPPES Registry Identity

NPI1679542799
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameMARK J KOTAPKACredential: MD
Location Address5401 OLD YORK ROAD, KLEIN BLDG, STE 501Philadelphia, PA 19141
Mailing Address101 E Olney Ave, 400Philadelphia, PA 19120-2421 · (215) 456-7000 · Fax (215) 254-2599
Fax(215) 457-7602
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1985
Enumeration DateMarch 14, 2006
Last NPPES UpdateDecember 7, 2010
NPI 1679542799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in PA · PA MD040762E
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
5401 OLD YORK ROAD, Philadelphia, PA 19141

Other Identifiers 3

Medicare ID-Type Unspecified0000179297
Medicare UPINE12972
Medicaid001288060PA

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 J Kotapka Md 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 ID1052595378
PECOS Enrollment IDI20110412000315
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 2

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.
67 services56 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 11

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

Transplant Surgery
5401 OLD YORK ROAD, SUITE 509
PHILADELPHIA, PA 19141
Psychiatry & Neurology (Neurology)
5401 OLD YORK ROAD, SUITE 300
PHILADELPHIA, PA 19141
Internal Medicine (Pulmonary Disease)
5401 OLD YORK ROAD, KLEIN-SUITE 300
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5401 OLD YORK ROAD, SUITE 363
PHILADELPHIA, PA 19141
Nurse Practitioner (Primary Care)
5401 OLD YORK ROAD
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5401 OLD YORK ROAD, KLEIN SUITE 363
PHILADELPHIA, PA 19141
Internal Medicine (Gastroenterology)
5401 OLD YORK ROAD, KLEIN BLDG STE 509
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5401 OLD YORK ROAD, SUITE 363
PHILADELPHIA, PA 19141

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 Kotapka's NPI number?

The NPI number for Mark Kotapka is 1679542799. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Mark Kotapka located?

Mark Kotapka practices at 5401 Old York Road Klein Bldg, Ste 501, Philadelphia, PA 19141. The listed phone number is (215) 456-6127.

What is Mark Kotapka's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Mark Kotapka enrolled in Medicare?

Yes. Mark Kotapka 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 Kotapka accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mark Kotapka 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 Kotapka affiliated with any hospitals?

According to CMS data, Mark Kotapka is affiliated with Albert Einstein Medical Center and Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Mark Kotapka was last updated on December 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.