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MARK S. PILARCZYK PA-C
NPI 1780773101
Physician Assistant in Houston, TX

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: May 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark S. Pilarczyk Pa-c NPPES

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

MARK S. PILARCZYK PA-C (NPI 1780773101) is an individual physician assistant in Houston, Texas, licensed in Texas (PA04380) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1780773101
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK S. PILARCZYKCredential: PA-C
Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4009
Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991
Phone(713) 792-6161
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 12, 2006
Last NPPES UpdateMay 7, 2010
✔ NPI 1780773101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA04380
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1515 HOLCOMBE BLVD, Houston, TX 77030
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Other Identifiers 4

Other8N8250TX · Bcbs
Medicaid180711701TX
Medicare PIN8D3376TX
Medicare UPINQ39117

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

Mark S. Pilarczyk Pa-c 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 ID1456307883
PECOS Enrollment IDI20050329000271
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 4

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.

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.
50 services32 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.
45 services34 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.
37 services37 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
23 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
3 suppliers15 claims15 services$48.49 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
1 supplier13 claims13 services$10.38 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers22 claims22 services$26.02 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
5 suppliers42 claims42 services$28.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. MERRY CHEN MD
Psychiatry & Neurology (Neurology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
AMEENA BAGREE MALHOTRA M.D.
Internal Medicine (Nephrology)
1515 HOLCOMBE BLVD, 77030-4009
HOUSTON, TX 77030
Harris County (713) 792-6161
SOLANGE ERLYN COX MD
Surgery
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-2360
DR. BRYAN KEITH GUILLORY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
JANUARY Y TSAI MD
Anesthesiology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
DR. SUNYOUNG LEE MD
Internal Medicine (Medical Oncology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
MRS. RACHEL KRAMER FUTRELL PA-C
Physician Assistant
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
MEGAN J TANNER NP-C
Nurse Practitioner
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161

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 Pilarczyk's NPI number?

The NPI number for Mark Pilarczyk is 1780773101. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Mark Pilarczyk located?

Mark Pilarczyk practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.

What is Mark Pilarczyk's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mark Pilarczyk enrolled in Medicare?

Yes. Mark Pilarczyk 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 Pilarczyk was last updated on May 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.