MARK DAVID IMWALLE MD
NPI 1740284538
Radiology - Diagnostic Radiology in Fairfield, OH

Q: What is Mark Imwalle's NPI number?

The NPI number for Mark Imwalle is 1740284538. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Q: What is Mark Imwalle's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Mark Imwalle was last updated on February 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 09, 2005PECOS Enrolled

3000 MACK RD, FAIRFIELD, OH 45014(513) 870-7024(513) 965-8091 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mark David Imwalle Md NPPES

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

MARK DAVID IMWALLE MD (NPI 1740284538) is an individual diagnostic radiology provider in Fairfield, Ohio, licensed in Ohio (35031812I) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740284538

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameMARK DAVID IMWALLECredential: MD

Location Address3000 MACK RDFairfield, OH 45014-5335

Mailing AddressPo Box 42417Cincinnati, OH 45242-0417 · (513) 965-8041 · Fax (513) 965-8091

Phone(513) 870-7024

Fax(513) 965-8091

Sole ProprietorNo

Enumeration DateJune 9, 2005

Last NPPES UpdateFebruary 25, 2008

✔ NPI 1740284538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in OH · 35031812I

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3000 MACK RD, Fairfield, OH 45014

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Other Identifiers 4

Medicare UPINE59714OH

Medicaid64781099KY

Medicaid0349644OH

Medicare PIN0151181OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark David Imwalle Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45014 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.