DR. MARK R FANTASKI MD
NPI 1689651630
Internal Medicine in Gibsonia, PA

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
5318 RANALLI DR, GIBSONIA, PA 15044(724) 449-9355(724) 449-2727 Get Directions Write a Review

NPPES record last updated: January 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark R Fantaski Md NPPES

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

DR. MARK R FANTASKI MD (NPI 1689651630) is an individual internal medicine provider in Gibsonia, Pennsylvania, licensed in Pennsylvania (MD048987L) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1990).

NPPES Registry Identity

NPI1689651630
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARK R FANTASKICredential: MD
Location Address5318 RANALLI DRGibsonia, PA 15044-9653
Mailing Address5318 Ranalli DrGibsonia, PA 15044-9653 · (724) 449-9355 · Fax (724) 449-2727
Fax(724) 449-2727
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1990
Enumeration DateDecember 29, 2005
Last NPPES UpdateJanuary 14, 2008
NPI 1689651630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD048987L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5318 RANALLI DR, Gibsonia, PA 15044

Other Identifiers 3

Other0014057000010PA · Maid Number
Medicare UPINF53121PA
Medicare PIN737601TFRPA

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 R Fantaski 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 ID9638133929
PECOS Enrollment IDI20041117000820
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 6

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 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.
268 services140 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
177 services177 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.
154 services109 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
56 services54 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
18 services18 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15044 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers21 claims21 services$30.24 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers14 claims14 services$79.98 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers14 claims41 services$28.43 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers13 claims75 services$12.58 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
9 suppliers18 claims18 services$41.09 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
9 suppliers19 claims19 services$13.36 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 9

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

Internal Medicine
5318 RANALLI DR
GIBSONIA, PA 15044
Internal Medicine
5318 RANALLI DR
GIBSONIA, PA 15044
Internal Medicine
5318 RANALLI DR
GIBSONIA, PA 15044
Non-Pharmacy Dispensing Site
5318 RANALLI DR
GIBSONIA, PA 15044
Internal Medicine
5318 RANALLI DR
GIBSONIA, PA 15044
Internal Medicine
5318 RANALLI DR
GIBSONIA, PA 15044
Physician Assistant
5318 RANALLI DR
GIBSONIA, PA 15044
Nurse Practitioner
5318 RANALLI DR
GIBSONIA, PA 15044

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 Fantaski's NPI number?

The NPI number for Mark Fantaski is 1689651630. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Mark Fantaski located?

Mark Fantaski practices at 5318 Ranalli Dr, Gibsonia, PA 15044. The listed phone number is (724) 449-9355.

What is Mark Fantaski's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Fantaski enrolled in Medicare?

Yes. Mark Fantaski 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.

Is Mark Fantaski affiliated with any hospitals?

According to CMS data, Mark Fantaski is affiliated with Upmc St Margaret, Upmc Passavant, Magee Womens Hospital Of Upmc Health System, Butler Memorial Hospital and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Mark Fantaski was last updated on January 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.