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

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: November 01, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Tedesco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Virginia Urgent Care LLC
24 mi
Urgent Care
5825 PLANK RD, SUITE 105
Fredericksburg, VA 22407
  • Reassigned Medicare billing, Virginia enrollment
  • 67 clinicians in this Medicare group
NPI 1487838652 (540) 785-2727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
3990 FETTLER PARK DR
DUMFRIES, VA 22025
Prince William County (571) 499-5813
MRS. AMANDA LORGE JOHNSON FNP-C
Nurse Practitioner (Family)
3990 FETTLER PARK DR
DUMFRIES, VA 22025
Prince William County (571) 499-5813
STEPHANIE J NAVAS PA
Physician Assistant (Medical)
3990 FETTLER PARK DR
DUMFRIES, VA 22025
Prince William County (703) 445-8312
BROOKE M. SCHMERFELD PA-C, M.S.
Physician Assistant (Medical)
3990 FETTLER PARK DR
DUMFRIES, VA 22025
Prince William County (703) 445-8312
HERMON MESFIN FNP
Nurse Practitioner
3990 FETTLER PARK DR
DUMFRIES, VA 22025
Prince William County (571) 499-5813

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 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.

Where is Mark Tedesco located?

Mark Tedesco practices at 3990 Fettler Park Dr Suite B, Dumfries, VA 22025. The listed phone number is (703) 680-3489.

What is Mark Tedesco's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Tedesco enrolled in Medicare?

Yes. Mark Tedesco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Tedesco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Tedesco reassigns Medicare benefits to Virginia Urgent Care LLC (Fredericksburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Tedesco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.