MARK ANDRES M.D.
NPI 1700080249
Surgery in Fishersville, VA

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
70 MEDICAL CENTER CIR STE 213, FISHERSVILLE, VA 22939(540) 245-7705(540) 245-7710 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2023, Dec 11, 2018, Nov 15, 2018 and 2 more (5 updates tracked since 2016).

About Mark Andres M.d. NPPES

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

MARK ANDRES M.D. (NPI 1700080249) is an individual surgery provider in Fishersville, Virginia, licensed in Virginia (0101261590) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Augusta Health, and is a graduate of Albany Medical College Of Union University (2005).

NPPES Registry Identity

NPI1700080249
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMARK ANDRESCredential: M.D.
Location Address70 MEDICAL CENTER CIR STE 213Fishersville, VA 22939
Mailing AddressPo Box 388Fishersville, VA 22939-0388 · (540) 932-5162 · Fax (540) 932-5875
Fax(540) 245-7710
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2005
Enumeration DateJune 11, 2007
Last NPPES UpdateNovember 13, 20235 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
NPI 1700080249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in VA · 0101261590 Licensed in NY · 247030
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.
70 MEDICAL CENTER CIR STE 213, Fishersville, VA 22939

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 Andres 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 ID3274768197
PECOS Enrollment IDI20171017000923
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 5

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.
20 services17 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.
19 services11 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.
16 services16 patients
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.
16 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Augusta Health

Acute Care Hospitals · Fishersville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490018
Location78 Medical Center DriveFishersville, VA 22939 · Augusta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22939 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
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%195 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
69%304 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
52%304 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
19%304 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
28%304 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

Surgery
70 MEDICAL CENTER CIR STE 213
FISHERSVILLE, VA 22939
Physician Assistant
70 MEDICAL CENTER CIR STE 213
FISHERSVILLE, VA 22939
Surgery
70 MEDICAL CENTER CIR STE 213
FISHERSVILLE, VA 22939
Surgery (Vascular Surgery)
70 MEDICAL CENTER CIR STE 213
FISHERSVILLE, VA 22939
Surgery
70 MEDICAL CENTER CIR STE 213
FISHERSVILLE, VA 22939
Physician Assistant (Surgical)
70 MEDICAL CENTER CIR STE 213
FISHERSVILLE, VA 22939
Surgery
70 MEDICAL CENTER CIR STE 213
FISHERSVILLE, VA 22939
Physician Assistant
70 MEDICAL CENTER CIR STE 213
FISHERSVILLE, VA 22939

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 Andres's NPI number?

The NPI number for Mark Andres is 1700080249. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Mark Andres located?

Mark Andres practices at 70 Medical Center Cir Ste 213, Fishersville, VA 22939. The listed phone number is (540) 245-7705.

What is Mark Andres's specialty?

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

Is Mark Andres enrolled in Medicare?

Yes. Mark Andres 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 Andres affiliated with any hospitals?

According to CMS data, Mark Andres is affiliated with Augusta Health.

When was this NPI record last updated?

The NPPES record for Mark Andres was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.