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DR. PHILLIP GLENN MARKS M.D.
NPI 1720173420
Urology in Raleigh, NC

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
4420 LAKE BOONE TRL STE 203, RALEIGH, NC 27607(919) 784-2930(919) 784-2929 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 25, 2023, Aug 19, 2021, Oct 28, 2020 (3 updates tracked since 2020).

About Dr. Phillip Glenn Marks M.d. NPPES

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

DR. PHILLIP GLENN MARKS M.D. (NPI 1720173420) is an individual urology provider in Raleigh, North Carolina, licensed in North Carolina (39444) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720173420
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. PHILLIP GLENN MARKSCredential: M.D.
Location Address4420 LAKE BOONE TRL STE 203Raleigh, NC 27607-7505
Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490 · (984) 215-4111 · Fax (910) 362-9123
Phone(919) 784-2930
Fax(919) 784-2929
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1983
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 2, 20263 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1720173420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NC · 39444
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4420 LAKE BOONE TRL STE 203, Raleigh, NC 27607
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Secondary Practice Locations 2

Location 11814 New Hanover Medical Park DrWilmington, NC 28403-5350 · Phone (910) 662-8765 · Fax (910) 362-9123
Location 2106 W Medical Park Dr, SUITE ALexington, NC 27292-6853 · Phone (336) 248-4413 · Fax (336) 248-6260

Other Identifiers 4

Other2150804CNC · Psc Medicare Provider #
Other53944NC · Blue Cross/blue Shield-nc
Medicaid8953944NC
OtherP00064804NC · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Phillip Glenn Marks 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 ID8426036310
PECOS Enrollment IDI20040708000431
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 Reassignments

9

Medicare enrollment records show Phillip Marks reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Carolina Mg, LLC
Same address
Hospitalist
4420 LAKE BOONE TRL
Raleigh, NC 27607
  • Reassigned Medicare billing, North Carolina enrollment
  • 701 clinicians in this Medicare group
NPI 1215741640 (919) 784-3100
Novant Medical Group, Inc.
0.4 mi
Cardiovascular Disease
3100 DURALEIGH RD
Raleigh, NC 27612
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Novant Health Medical Group, LLC
  • 2,998 clinicians in this Medicare group
NPI 1104154152 (919) 232-0050
Unc Physicians Network, LLC
4.0 mi
Internal Medicine
3900 BROWNING PL, SUITE 101
Raleigh, NC 27609
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,337 clinicians in this Medicare group
NPI 1649578147 (919) 781-9650
Forsyth Memorial Hospital, Inc.
68 mi
Endocrinology, Diabetes & Metabolism
1941 NEW GARDEN RD STE 216
Greensboro, NC 27410
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
NPI 1124522933 (336) 992-1351
Vidant Medical Group LLC
73 mi
Ambulatory Surgical
701 DOCTORS DR STE N
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
NPI 1376049619 (252) 559-2200
The Charlotte-Mecklenburg Hospital Authority
90 mi
Hematology
945 N 5TH ST
Albemarle, NC 28001
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1023455987 (980) 323-7790
Piedmont Stone Center PLLC
91 mi
Lithotripsy
1907 SOUTH HAWTHORNE RD
Winston-salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 80 clinicians in this Medicare group
NPI 1700827409 (336) 765-6373
Novant Health Medical Group Coastal Region, LLC
101 mi
Family Medicine
2000 BRABHAM AVE
Jacksonville, NC 28546
  • Reassigned Medicare billing, North Carolina enrollment
  • 710 clinicians in this Medicare group
NPI 1629738505 (910) 376-3025
Dlp Western Carolina Physician Practices LLC
239 mi
Diagnostic Radiology
262 LEROY GEORGE DR
Clyde, NC 28721
  • Reassigned Medicare billing, North Carolina enrollment
  • 456 clinicians in this Medicare group
NPI 1932925062 (615) 920-7000

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

Areas of Expertise CMS Part B claims 9

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
259 services147 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
146 services105 patients
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.
132 services91 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.
76 services76 patients
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.
72 services60 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
46 services45 patients

Hospital Affiliations CMS Care Compare 5

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Haywood Regional Medical Center

Acute Care Hospitals · Clyde, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340184
Location262 Leroy George DriveClyde, NC 28721 · Haywood County
Emergency services Birthing friendly

Pender Memorial Hospital

Critical Access Hospitals · Burgaw, NC
OwnershipGovernment - Local
CMS Certification Number341307
Location507 E Fremont StBurgaw, NC 28425 · Pender County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
72%141 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
31%258 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
32%281 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
26%27 patients2/55-star benchmark: 98%
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 6

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

LAWRENCE ANDREW BLELLOCH PA
Physician Assistant
4420 LAKE BOONE TRL STE 203
RALEIGH, NC 27607
Wake County (919) 784-2930
DAVID MCKENZIE KRAEBBER MD
Urology
4420 LAKE BOONE TRL STE 203
RALEIGH, NC 27607
Wake County (919) 784-2930
JESSICA D LINDSAY MSN, APRN, FNP-BC
Nurse Practitioner (Family)
4420 LAKE BOONE TRL STE 203
RALEIGH, NC 27607
Wake County (919) 784-2930
MEGAN TETER PA-C
Physician Assistant
4420 LAKE BOONE TRL STE 203
RALEIGH, NC 27607
Wake County (919) 784-2930
TIMOTHY GERALD MARINE PA-C
Physician Assistant
4420 LAKE BOONE TRL STE 203
RALEIGH, NC 27607
Wake County (919) 784-2930
DR. TODD HENRY STERLING M.D.
Urology
4420 LAKE BOONE TRL STE 203
RALEIGH, NC 27607
Wake County (919) 784-2930

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 Phillip Marks's NPI number?

The NPI number for Phillip Marks is 1720173420. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Phillip Marks located?

Phillip Marks practices at 4420 Lake Boone Trl Ste 203, Raleigh, NC 27607. The listed phone number is (919) 784-2930.

What is Phillip Marks's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Phillip Marks enrolled in Medicare?

Yes. Phillip Marks 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.

Which organizations bill Medicare for Phillip Marks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Marks reassigns Medicare benefits to 9 organizations: North Carolina Mg, LLC (Raleigh, NC), Novant Medical Group, Inc. (Raleigh, NC), Unc Physicians Network, LLC (Raleigh, NC), Forsyth Memorial Hospital, Inc. (Greensboro, NC), Vidant Medical Group LLC (Kinston, NC) and 4 more organizations, listed in the Medicare section above. Each 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 Phillip Marks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phillip Marks accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 3 other insurers list Phillip Marks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Phillip Marks affiliated with any hospitals?

According to CMS data, Phillip Marks is affiliated with Carolinas Medical Center-Northeast, Atrium Health Cleveland, Novant Health New Hanover Regional Medical Center, Haywood Regional Medical Center and Pender Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Phillip Marks was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.