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

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: August 02, 2026.

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
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

Other Identifiers 1

Medicaid00G673280CA

Medicare Participation & PECOS CMS

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

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.

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.

Physician Assistant (Medical)
29472 AVENIDA DE LAS BANDERA
RANCHO SANTA MARGARITA, CA 92688
Pediatrics
29472 AVENIDA DE LAS BANDERA
RANCHO SANTA MARGARITA, CA 92688
Internal Medicine
29472 AVENIDA DE LAS BANDERA
RANCHO SANTA MARGARITA, CA 92688
Family Medicine
29472 AVENIDA DE LAS BANDERA
RANCHO SANTA MARGARITA, CA 92688
Family Medicine
29472 AVENIDA DE LAS BANDERA
RANCHO SANTA MARGARITA, CA 92688
Family Medicine
29472 AVENIDA DE LAS BANDERA
RANCHO SANTA MARGARITA, CA 92688
Pediatrics
29472 AVENIDA DE LAS BANDERA
RANCHO SANTA MARGARITA, CA 92688
Pediatrics
29472 AVENIDA DE LAS BANDERA
RANCHO SANTA MARGARITA, CA 92688

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 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.

Where is Mark Cianciola located?

Mark Cianciola practices at 29472 Avenida De Las Bandera, Rancho Santa Margarita, CA 92688. The listed phone number is (949) 459-9968.

What is Mark Cianciola's specialty?

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

Is Mark Cianciola enrolled in Medicare?

Yes. Mark Cianciola 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.

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.