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

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: November 08, 2026.

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
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINE59714OH
Medicaid64781099KY
Medicaid0349644OH
Medicare PIN0151181OH

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Imwalle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Proscan Radiology, LLC
11 mi
Diagnostic Radiology
5400 KENNEDY AVE
Cincinnati, OH 45213
  • Reassigned Medicare billing, Ohio enrollment
  • 90 clinicians in this Medicare group
NPI 1588654610 (513) 281-3400

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

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.

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.

HAMILTON ANCILLARY SERVICES
Internal Medicine (Pulmonary Disease)
3000 MACK RD
FAIRFIELD, OH 45014
Butler County (937) 291-7850
MADONNA LEA DECHRISTOPHER CNP
Nurse Practitioner (Family)
3000 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 682-1838
MARK M KIRKHAM MD
Internal Medicine (Cardiovascular Disease)
3000 MACK RD, SUITE 100
FAIRFIELD, OH 45014
Butler County (513) 751-4222
JACQUELYN ANNE VIRGI PALMER M.D.
Surgery (Surgical Oncology)
3000 MACK RD, STE. 2531
FAIRFIELD, OH 45014
Butler County (513) 924-8535
DR. KEVIN GREGORY-GO BELEN M.D.
Emergency Medicine
3000 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 870-7000
MS. SHELLY JARYAL M.D.
Student in an Organized Health Care Education/Training Program
3000 MACK RD
FARFIELD, OH 45014
Butler County (513) 870-7000
PATHOLOGISTS, INC
Specialist
3000 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 870-7032
BRADFORD HAROLD WOODALL MD
Radiology (Diagnostic Radiology)
3000 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 870-7024

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 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.

Where is Mark Imwalle located?

Mark Imwalle practices at 3000 Mack Rd, Fairfield, OH 45014. The listed phone number is (513) 870-7024.

What is Mark Imwalle's specialty?

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

Is Mark Imwalle enrolled in Medicare?

Yes. Mark Imwalle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Imwalle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Imwalle reassigns Medicare benefits to Proscan Radiology, LLC (Cincinnati, OH). The 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 Mark Imwalle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Imwalle was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.