DR. MARK CIANCIOLA MD
NPI 1750371035
Family Medicine in Rancho Santa Margarita, CA

Q: What is Mark Cianciola's NPI number?

The NPI number for Mark Cianciola is 1750371035. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Q: What is Mark Cianciola's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Cianciola was last updated on March 5, 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 October 26, 2005PECOS EnrolledAccepts Medicare Assignment

29472 AVENIDA DE LAS BANDERA, RANCHO SANTA MARGARITA, CA 92688(949) 459-9968(949) 766-2565 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Mark Cianciola Md NPPES

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

DR. MARK CIANCIOLA MD (NPI 1750371035) is an individual family medicine provider in Rancho Santa Margarita, California, licensed in California (G67328) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1988).

NPPES Registry Identity

NPI1750371035

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARK CIANCIOLACredential: MD

Location Address29472 AVENIDA DE LAS BANDERARancho Santa Margarita, CA 92688-2651

Mailing Address29472 Avenida De Las BanderaRancho Santa Margarita, CA 92688-2651 · (949) 459-9968 · Fax (949) 766-2565

Phone(949) 459-9968

Fax(949) 766-2565

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 1988

Enumeration DateOctober 26, 2005

Last NPPES UpdateMarch 5, 2020

NPPES CertifiedMarch 5, 2020

✔ NPI 1750371035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · G67328

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

29472 AVENIDA DE LAS BANDERA, Rancho Santa Margarita, CA 92688

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Other Identifiers 1

Medicaid00G673280CA

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. Mark Cianciola Md 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 ID2668516113

PECOS Enrollment IDI20100222000326

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 Cianciola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorialcare Medical Foundation

21 mi

Clinic/Center

17360 BROOKHURST ST
Fountain Valley, CA 92708

Reassigned Medicare billing, California enrollment
948 clinicians in this Medicare group

NPI 1205167350 (877) 696-3622

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 5

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

92 services60 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.

56 services41 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.

47 services37 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

16 services16 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92688 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 12

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

RYAN K AH SAN PA-C

Physician Assistant (Medical)