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DR. MARK GETTLEMAN M.D.
NPI 1801989611
Pediatrics in Gilbert, AZ

Active since October 02, 2006PECOS Enrolled
1790 E BOSTON ST, GILBERT, AZ 85295(602) 933-3549 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 8, 2023, May 11, 2016, Mar 3, 2016 (3 updates tracked since 2016).

About Dr. Mark Gettleman M.d. NPPES

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

DR. MARK GETTLEMAN M.D. (NPI 1801989611) is an individual pediatrics provider in Gilbert, Arizona, licensed in Arizona (23947) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801989611
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MARK GETTLEMANCredential: M.D.
Location Address1790 E BOSTON STGilbert, AZ 85295-6247
Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (029) 331-8136
Phone(602) 933-3549
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateMarch 8, 20233 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
✔ NPI 1801989611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in AZ · 23947✔ Licensed in WA · MD60622294
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1790 E BOSTON ST, Gilbert, AZ 85295
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Other Identifiers 1

Medicaid2055783WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Gettleman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Gettleman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phoenix Children's Medical Group
6.4 mi
Multi-Specialty
5131 E SOUTHERN AVE
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Phoenix Children's Hospital
  • 1,416 clinicians in this Medicare group
NPI 1487814240 (602) 933-0002
Mountain Park Health Center
17 mi
Federally Qualified Health Center (FQHC)
1300 N 48TH ST
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 166 clinicians in this Medicare group
NPI 1912661323 (602) 243-7277

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85295 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Gettleman's NPI number?

The NPI number for Mark Gettleman is 1801989611. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Mark Gettleman located?

Mark Gettleman practices at 1790 E Boston St, Gilbert, AZ 85295. The listed phone number is (602) 933-3549.

What is Mark Gettleman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mark Gettleman enrolled in Medicare?

Yes. Mark Gettleman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Gettleman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Gettleman reassigns Medicare benefits to 2 organizations: Phoenix Children's Medical Group (Mesa, AZ) and Mountain Park Health Center (Phoenix, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Gettleman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Gettleman accept?

Health plans from Cigna HealthCare of Arizona, Inc and Oscar Insurance Company list Mark Gettleman 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 Gettleman was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.