DR. MARK ANDREW KOUP D.M.D.
NPI 1750468856
Dentist - General Practice in Malvern, PA

Active since November 01, 2006Opted out of Medicare · through Jul 12, 2028
325 CENTRAL AVE, SUITE 101, MALVERN, PA 19355(610) 644-0408(610) 647-1024 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Mark Andrew Koup D.m.d. NPPES

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

DR. MARK ANDREW KOUP D.M.D. (NPI 1750468856) is an individual general practice provider in Malvern, Pennsylvania, licensed in Pennsylvania (DS036484) and active in the NPI registry since November 2006. He has opted out of Medicare through July 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1750468856
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK ANDREW KOUPCredential: D.M.D.
Location Address325 CENTRAL AVE, SUITE 101Malvern, PA 19355-3219
Mailing Address325 Central Ave, Suite 101Malvern, PA 19355-3219 · (610) 644-0408 · Fax (610) 647-1024
Fax(610) 647-1024
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1750468856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in PA · DS036484
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
325 CENTRAL AVE, Malvern, PA 19355

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Mark Andrew Koup D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 12, 2016 through July 12, 2028.

Opt-Out Effective DateJuly 12, 2016
Opt-Out In Effect ThroughJuly 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19355 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Nurse Anesthetist, Certified Registered
325 CENTRAL AVE, SUITE 200
MALVERN, PA 19355
Psychiatry & Neurology (Psychiatry)
325 CENTRAL AVE, SUITE 102
MALVERN, PA 19355
Internal Medicine (Gastroenterology)
325 CENTRAL AVE, 2ND FLOOR
MALVERN, PA 19355
Internal Medicine (Gastroenterology)
325 CENTRAL AVE, 2ND FLOOR
MALVERN, PA 19355
Internal Medicine (Gastroenterology)
325 CENTRAL AVE, SUITE 200
MALVERN, PA 19355
Dentist (General Practice)
325 CENTRAL AVE, SUITE 101
MALVERN, PA 19355
Internal Medicine (Gastroenterology)
325 CENTRAL AVE, 2ND FLOOR
MALVERN, PA 19355
Internal Medicine (Gastroenterology)
325 CENTRAL AVE
MALVERN, PA 19355

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 Koup's NPI number?

The NPI number for Mark Koup is 1750468856. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Mark Koup located?

Mark Koup practices at 325 Central Ave Suite 101, Malvern, PA 19355. The listed phone number is (610) 644-0408.

What is Mark Koup's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Koup enrolled in Medicare?

No. Mark Koup has opted out of Medicare through July 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mark Koup accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mark Koup 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.

When was this NPI record last updated?

The NPPES record for Mark Koup was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.