DR. MARK T KLUCKA D.O.
NPI 1801902432
Family Medicine in Alton, IL

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
4 MEMORIAL DR STE 230, ALTON, IL 62002(618) 463-7874 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Aug 23, 2024, Aug 22, 2023 and 1 more (4 updates tracked since 2021).

About Dr. Mark T Klucka D.o. NPPES

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

DR. MARK T KLUCKA D.O. (NPI 1801902432) is an individual family medicine provider in Alton, Illinois, licensed in Illinois (036077227) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801902432
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK T KLUCKACredential: D.O.
Location Address4 MEMORIAL DR STE 230Alton, IL 62002-6704
Mailing AddressPo Box 959203Saint Louis, MO 63195-1281 · (618) 463-7874 · Fax (618) 463-7846
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1983
Enumeration DateAugust 23, 2006
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
NPI 1801902432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036077227
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.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 036.077227 (IL)
4 MEMORIAL DR STE 230, Alton, IL 62002

Secondary Practice Locations 2

Location 12 Saint Anthonys Way, Suite 305Alton, IL 62002-4569 · Phone (618) 465-2761 · Fax (618) 465-4750
Location 23 Saint Elizabeth BlvdO Fallon, IL 62269 · Phone (618) 641-5803

Other Identifiers 2

Medicaid036077227IL
Other100013015IL · Railroad Medicare

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 T Klucka D.o. 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 ID3678608353
PECOS Enrollment IDI20240917002110
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 9

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.

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.
114 services108 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.
98 services98 patients
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.
67 services66 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.
46 services36 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
30 services29 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Family Medicine (Sleep Medicine)
4 MEMORIAL DR STE 230
ALTON, IL 62002
Internal Medicine (Gastroenterology)
4 MEMORIAL DR STE 230
ALTON, IL 62002
Surgery
4 MEMORIAL DR STE 230
ALTON, IL 62002
Psychiatry & Neurology (Neurology)
4 MEMORIAL DR STE 230
ALTON, IL 62002
Nurse Practitioner
4 MEMORIAL DR STE 230
ALTON, IL 62002
Psychiatry & Neurology (Neurology)
4 MEMORIAL DR STE 230
ALTON, IL 62002
Internal Medicine (Pulmonary Disease)
4 MEMORIAL DR STE 230
ALTON, IL 62002
Audiologist
4 MEMORIAL DR STE 230
ALTON, IL 62002

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 Klucka's NPI number?

The NPI number for Mark Klucka is 1801902432. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Mark Klucka located?

Mark Klucka practices at 4 Memorial Dr Ste 230, Alton, IL 62002. The listed phone number is (618) 463-7874.

What is Mark Klucka's specialty?

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

Is Mark Klucka enrolled in Medicare?

Yes. Mark Klucka 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.

Is Mark Klucka affiliated with any hospitals?

According to CMS data, Mark Klucka is affiliated with Alton Memorial Hospital, Memorial Hospital, Barnes Jewish Hospital and Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for Mark Klucka was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.