MARK KHRYSTIAN ILAGAN D.O.
NPI 1710326749
Family Medicine in San Bernardino, CA

Active since June 24, 2013PECOS EnrolledAccepts Medicare Assignment
1717 E DATE PL, SAN BERNARDINO, CA 92404(888) 750-0036 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Khrystian Ilagan D.o. NPPES

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

MARK KHRYSTIAN ILAGAN D.O. (NPI 1710326749) is an individual family medicine provider in San Bernardino, California, licensed in California (20A14538) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1710326749
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK KHRYSTIAN ILAGANCredential: D.O.
Location Address1717 E DATE PLSan Bernardino, CA 92404-4428
Mailing Address1717 E Date PlSan Bernardino, CA 92404-4428 · (888) 750-0036
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 24, 2013
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
NPI 1710326749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A14538
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.
1717 E DATE PL, San Bernardino, CA 92404

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 Khrystian Ilagan D.o. 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 ID4486956984
PECOS Enrollment IDI20160908002985
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

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.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92404 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 9

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

Pharmacist
1717 E DATE PL
SAN BERNARDINO, CA 92404
Pharmacy (Community/Retail Pharmacy)
1717 E DATE PL
SAN BERNARDINO, CA 92404
Pharmacist
1717 E DATE PL
SAN BERNARDINO, CA 92404
Family Medicine
1717 E DATE PL
SAN BERNARDINO, CA 92404
Family Medicine
1717 E DATE PL
SAN BERNARDINO, CA 92404
Pharmacist
1717 E DATE PL
SAN BERNARDINO, CA 92404
Family Medicine
1717 E DATE PL
SAN BERNARDINO, CA 92404
Student in an Organized Health Care Education/Training Program
1717 E DATE PL
SAN BERNARDINO, CA 92404

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 Ilagan's NPI number?

The NPI number for Mark Ilagan is 1710326749. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Where is Mark Ilagan located?

Mark Ilagan practices at 1717 E Date Pl, San Bernardino, CA 92404. The listed phone number is (888) 750-0036.

What is Mark Ilagan's specialty?

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

Is Mark Ilagan enrolled in Medicare?

Yes. Mark Ilagan 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.

When was this NPI record last updated?

The NPPES record for Mark Ilagan was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.