DR. MARK J FOLEY M.D
NPI 1811194418
Radiology - Diagnostic Radiology in Miami, FL

Active since June 28, 2007PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1400 NW 12TH AVE, MIAMI, FL 33136(305) 243-5512 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2024, Jul 21, 2022, Jul 17, 2017 (3 updates tracked since 2017).

About Dr. Mark J Foley M.d NPPES

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

DR. MARK J FOLEY M.D (NPI 1811194418) is an individual diagnostic radiology provider in Miami, Florida, licensed in Florida (ME114193) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1811194418
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MARK J FOLEYCredential: M.D
Location Address1400 NW 12TH AVEMiami, FL 33136-1003
Mailing Address1400 Nw 12th AveMiami, FL 33136-1003 · (305) 243-5512
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 28, 2007
Last NPPES UpdateOctober 11, 20243 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
NPI 1811194418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in FL · ME114193
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedNuclear MedicineTaxonomy 207U00000X · License ME114193 (FL)
1400 NW 12TH AVE, Miami, FL 33136

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 J Foley M.d 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 ID6608091459
PECOS Enrollment IDI20170418000617
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 13

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
90 services84 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
51 services48 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
43 services43 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
28 services27 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
19 services19 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

Internal Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1400 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE
MIAMI, FL 33136
Orthopaedic Surgery
1400 NW 12TH AVE
MIAMI, FL 33136
Emergency Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Internal Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Dentist (General Practice)
1400 NW 12TH AVE, SUITE 2005
MIAMI, FL 33136

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 Foley's NPI number?

The NPI number for Mark Foley is 1811194418. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Mark Foley located?

Mark Foley practices at 1400 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-5512.

What is Mark Foley's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Foley enrolled in Medicare?

Yes. Mark Foley 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 Foley affiliated with any hospitals?

According to CMS data, Mark Foley is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Mark Foley was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.