MARK B. GLOUDEMAN M.D.
NPI 1750306825
Surgery in Culpeper, VA

Q: What is Mark Gloudeman's NPI number?

The NPI number for Mark Gloudeman is 1750306825. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Mark Gloudeman's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Gloudeman was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 12, 2006PECOS EnrolledAccepts Medicare Assignment

541 SUNSET LN, SUITE 103, CULPEPER, VA 22701(540) 825-4440(540) 825-4026 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mark B. Gloudeman M.d. NPPES

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

MARK B. GLOUDEMAN M.D. (NPI 1750306825) is an individual surgery provider in Culpeper, Virginia, licensed in Virginia (0101043825) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Uva Health System Culpeper Med Cente, and is a graduate of Northwestern University Feinberg Medical School (1984).

NPPES Registry Identity

NPI1750306825

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMARK B. GLOUDEMANCredential: M.D.

Location Address541 SUNSET LN, SUITE 103Culpeper, VA 22701-3979

Mailing AddressPo Box 9007Charlottesville, VA 22906-9007

Phone(540) 825-4440

Fax(540) 825-4026

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1984

Enumeration DateJuly 12, 2006

Last NPPES UpdateOctober 9, 2020

NPPES CertifiedOctober 9, 2020

✔ NPI 1750306825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in VA · 0101043825

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSpecialistTaxonomy 174400000X · License 0101043825 (VA)

541 SUNSET LN, Culpeper, VA 22701

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Other Identifiers 1

Medicaid010192471VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Mark B. Gloudeman 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 ID9234035718

PECOS Enrollment IDI20050920000662

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

Medicare enrollment records show Mark Gloudeman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uva Community Health Medical Group, LLC

Same address

Internal Medicine

501 SUNSET LN
Culpeper, VA 22701

Reassigned Medicare billing, Virginia enrollment
584 clinicians in this Medicare group

NPI 1992157580 (540) 829-4100

University Of Virginia Physicians Group

40 mi

Neuromusculoskeletal Medicine, Sports Medicine

4105 LEWIS AND CLARK DR
Charlottesville, VA 22911

Reassigned Medicare billing, Virginia enrollment
2,820 clinicians in this Medicare group

NPI 1033138250 (434) 295-1000

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 15

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

85 services85 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

61 services61 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

50 services50 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.

39 services34 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

38 services38 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.

38 services35 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

27 services26 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.

26 services26 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

24 services21 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

23 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

20 services17 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

19 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services11 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490019

Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22701 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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 13

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

BLUE RIDGE GYNECOLOGY & WELLNESS,INC

Obstetrics & Gynecology

541 SUNSET LN, SUITE 301
CULPEPER, VA 22701

Culpeper County (540) 825-4557

ELENA G. SAYKALY P.A.

Physician Assistant (Surgical)

541 SUNSET LN, SUITE 103
CULPEPER, VA 22701

Culpeper County (540) 825-2600

DR. JONATHAN M BIGWOOD MD

Pediatrics

541 SUNSET LN
CULPEPER, VA 22701

Culpeper County (540) 829-4114

KARL MARTIN BEIER M.D.

Phlebology

541 SUNSET LN, SUITE 302
CULPEPER, VA 22701

Culpeper County (540) 825-8550

DR. ROBERT GOLUB M.D.

Specialist

541 SUNSET LN, SUITE 303
CULPEPER, VA 22701

Culpeper County (540) 825-2600

KEVIN D STOCKER M.D.

Obstetrics & Gynecology

541 SUNSET LN, STE 103
CULPEPER, VA 22701

Culpeper County (540) 321-3002

MISTY R SHOEMAKER DO

Obstetrics & Gynecology

541 SUNSET LN, # 301
CULPEPER, VA 22701

Culpeper County (540) 825-4557

CHRISTINA M. WALSH PA

Physician Assistant

541 SUNSET LN, CULPEPER HOSPITAL EMERGENCY DEPARTMENT
CULPEPER, VA 22701

Culpeper County (540) 829-4189

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 Gloudeman's NPI number?

The NPI number for Mark Gloudeman is 1750306825. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Mark Gloudeman located?

Mark Gloudeman practices at 541 Sunset Ln Suite 103, Culpeper, VA 22701. The listed phone number is (540) 825-4440.

What is Mark Gloudeman's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mark Gloudeman enrolled in Medicare?

Yes. Mark Gloudeman 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 Mark Gloudeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Gloudeman reassigns Medicare benefits to 2 organizations: Uva Community Health Medical Group, LLC (Culpeper, VA) and University Of Virginia Physicians Group (Charlottesville, VA). 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 Mark Gloudeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Gloudeman accept?

Health plans from Oscar Health list Mark Gloudeman 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 Mark Gloudeman affiliated with any hospitals?

According to CMS data, Mark Gloudeman is affiliated with Novant Health Uva Health System Culpeper Med Cente.

When was this NPI record last updated?

The NPPES record for Mark Gloudeman was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.