DR. MARK J TEDESCO MD, MPH
NPI 1689695280
Family Medicine in Dumfries, VA

Q: What is Mark Tedesco's NPI number?

The NPI number for Mark Tedesco is 1689695280. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Q: What is Mark Tedesco'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 Tedesco was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 21, 2006PECOS Enrolled

3990 FETTLER PARK DR, SUITE B, DUMFRIES, VA 22025(703) 680-3489 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mark J Tedesco Md, Mph NPPES

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

DR. MARK J TEDESCO MD, MPH (NPI 1689695280) is an individual family medicine provider in Dumfries, Virginia, licensed in Pennsylvania (MD043004E) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689695280

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARK J TEDESCOCredential: MD, MPH

Location Address3990 FETTLER PARK DR, SUITE BDumfries, VA 22025-1997

Mailing Address5089 Willow Oak PlMontclair, VA 22025-3010 · (703) 680-3489

Phone(703) 680-3489

Sole ProprietorNo

Enumeration DateJuly 21, 2006

Last NPPES UpdateNovember 17, 2011

✔ NPI 1689695280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD043004E

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.

3990 FETTLER PARK DR, Dumfries, VA 22025

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark J Tedesco Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22025 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 6

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

DR. JENNIFER MARIE ROMANOW M.D.

Family Medicine

3990 FETTLER PARK DR, SUITE B
DUMFRIES, VA 22025

Prince William County (888) 381-4858

ZAHIDA NOOR

Nurse Practitioner (Family)