MARK TODD ROBACK DO
NPI 1801969829
General Practice in Fortuna, CA

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
3304 RENNER DR, FORTUNA, CA 95540(707) 725-4477(707) 725-9209 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Todd Roback Do NPPES

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

MARK TODD ROBACK DO (NPI 1801969829) is an individual general practice provider in Fortuna, California, licensed in California (20A10324) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1801969829
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMARK TODD ROBACKCredential: DO
Location Address3304 RENNER DRFortuna, CA 95540-7102
Mailing Address670 9th Street, Suite 203Arcata, CA 95521-6249 · (707) 826-8633 · Fax (707) 826-8638
Fax(707) 725-9209
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 16, 2006
Last NPPES UpdateAugust 25, 2014
NPI 1801969829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · 20A10324
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License R1153 (KY)
3304 RENNER DR, Fortuna, CA 95540

Other Identifiers 15

Medicare PIN0771920
Medicare PIN0903682
Other1801969829CA · Npi
Medicare PIN0396858
Medicare PIN0952012
OtherR1153KY · Temp License
Medicare PINP00404552KY
Medicare UPIN172347CA
Medicare PIN0601443
Medicare PIN0745827
Medicare PIN0935388
Medicare PIN00151007
Medicare PIN0935812
Medicaid7100028230KY
Medicare PIN0683240

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 Todd Roback Do 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 ID7214034552
PECOS Enrollment IDI20080731000716
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 10

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,184 services449 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
410 services387 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
283 services247 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
238 services230 patients
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.
211 services59 patients
Smoking and tobacco use intensive counseling, more than 10 minutes 99407
This service involves an in-depth discussion about the risks of smoking and tobacco use, spanning over 10 minutes. It provides personalized strategies to quit smoking, including coping techniques for withdrawal symptoms and triggers. The goal is to support your journey towards a healthier lifestyle.
36 services31 patients

Referred Medical Equipment & Supplies CMS DME claims 5

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers17 claims17 services$57.52 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers31 claims31 services$17.71 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers11 claims11 services$46.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers49 claims49 services$97.95 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$38.25 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 11

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

Registered Nurse
3304 RENNER DR
FORTUNA, CA 95540
Specialist
3304 RENNER DR
FORTUNA, CA 95540
Nurse Practitioner (Family)
3304 RENNER DR
FORTUNA, CA 95540
Nurse Practitioner
3304 RENNER DR
FORTUNA, CA 95540
Orthopaedic Surgery
3304 RENNER DR
FORTUNA, CA 95540
Registered Nurse
3304 RENNER DR
FORTUNA, CA 95540
Physician Assistant
3304 RENNER DR
FORTUNA, CA 95540
Physician Assistant
3304 RENNER DR
FORTUNA, CA 95540

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 Roback's NPI number?

The NPI number for Mark Roback is 1801969829. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Mark Roback located?

Mark Roback practices at 3304 Renner Dr, Fortuna, CA 95540. The listed phone number is (707) 725-4477.

What is Mark Roback's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mark Roback enrolled in Medicare?

Yes. Mark Roback 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 Roback was last updated on August 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.