MARK RICHARD IPPOLITO M.D.
NPI 1720042179
Psychiatry & Neurology - Neurology in Charlotte, NC

Q: What is Mark Ippolito's NPI number?

The NPI number for Mark Ippolito is 1720042179. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Q: What is Mark Ippolito's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Mark Ippolito was last updated on October 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 13, 2006PECOS EnrolledAccepts Medicare Assignment

200 HAWTHORNE LN, CHARLOTTE, NC 28204(704) 384-9437(704) 384-9440 Get Directions Write a Review

NPPES record last updated: October 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 25, 2020, Apr 30, 2019 (2 updates tracked since 2019).

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About Mark Richard Ippolito M.d. NPPES

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

MARK RICHARD IPPOLITO M.D. (NPI 1720042179) is an individual neurology provider in Charlotte, North Carolina, licensed in North Carolina (2000-00076) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St James Healthcare, and is a graduate of State University Of New York At Buffalo School Of Medicine (1992).

NPPES Registry Identity

NPI1720042179

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameMARK RICHARD IPPOLITOCredential: M.D.

Location Address200 HAWTHORNE LNCharlotte, NC 28204-2515

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840 · Fax (704) 384-7830

Phone(704) 384-9437

Fax(704) 384-9440

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1992

Enumeration DateApril 13, 2006

Last NPPES UpdateOctober 25, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2020

✔ NPI 1720042179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in NC · 2000-00076

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License 2000-00076 (NC)

200 HAWTHORNE LN, Charlotte, NC 28204

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Other Identifiers 1

Medicaid8912769NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Richard Ippolito 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 ID648249805

PECOS Enrollment IDI20241226002426

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.

Hospital Affiliations CMS Care Compare 2

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

St James Healthcare

Acute Care Hospitals · Butte, MT

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270017

Location400 S Clark StButte, MT 59701 · Silver Bow County

Emergency services Birthing friendly

St Vincent Healthcare

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number270049

Location1233 N 30th StBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 20

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

WELO SYLVIE OLENGA CRNA

Nurse Anesthetist, Certified Registered