DR. PAUL MARK M.D.
NPI 1831137629
Medical Genetics - Clinical Genetics (M.D.) in Grand Rapids, MI

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
86.44/100
CMS Quality Rating
25 MICHIGAN ST NE, SUITE 2000, GRAND RAPIDS, MI 49503(616) 391-2192(616) 391-3114 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Paul Mark M.d. NPPES

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

DR. PAUL MARK M.D. (NPI 1831137629) is an individual clinical genetics (m.d.) provider in Grand Rapids, Michigan, licensed in Michigan (4301057958) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Indiana University School Of Medicine (1991).

NPPES Registry Identity

NPI1831137629
Entity TypeIndividualMale
Primary Taxonomy207SG0201X
Provider Legal NameDR. PAUL MARKCredential: M.D.
Location Address25 MICHIGAN ST NE, SUITE 2000Grand Rapids, MI 49503-2515
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Fax(616) 391-3114
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1991
Enumeration DateJune 3, 2006
Last NPPES UpdateFebruary 26, 2021
NPPES CertifiedFebruary 26, 2021
✔ NPI 1831137629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in MI · 4301057958
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 01040767A (IN)
25 MICHIGAN ST NE, Grand Rapids, MI 49503

Other Identifiers 2

Medicaid1831137629MI
Medicaid200056530AIN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Mark 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 ID9931205762
PECOS Enrollment IDI20101111001066
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 Paul Mark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Endocrinology
35 MICHIGAN ST NE STE 1800
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
Hospitalist
100 MICHIGAN ST NE, MC-907
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 405 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

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.

86.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.93
Promoting Interoperability100
Improvement Activities40
Cost41.91

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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
25 MICHIGAN ST NE, MATERNAL FETAL MEDICINE DEPT
GRAND RAPIDS, MI 49503
Genetic Counselor, MS
25 MICHIGAN ST NE, SUITE 2000
GRAND RAPIDS, MI 49503
Internal Medicine (Interventional Cardiology)
25 MICHIGAN ST NE, SUITE 4300
GRAND RAPIDS, MI 49503
Urology
25 MICHIGAN ST NE, SUITE 3300
GRAND RAPIDS, MI 49503
Thoracic Surgery (Cardiothoracic Vascular Surgery)
25 MICHIGAN ST NE, SUITE 4300
GRAND RAPIDS, MI 49503
Neurological Surgery
25 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Urology
25 MICHIGAN ST NE, SUITE 3300
GRAND RAPIDS, MI 49503
Physician Assistant
25 MICHIGAN ST NE, SUITE 6100
GRAND RAPIDS, MI 49503

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 Paul Mark's NPI number?

The NPI number for Paul Mark is 1831137629. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Paul Mark located?

Paul Mark practices at 25 Michigan St NE Suite 2000, Grand Rapids, MI 49503. The listed phone number is (616) 391-2192.

What is Paul Mark's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Paul Mark enrolled in Medicare?

Yes. Paul Mark 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.

Which organizations bill Medicare for Paul Mark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Mark reassigns Medicare benefits to 2 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI) and Spectrum Health Hospitals (Grand Rapids, MI). 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 Paul Mark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Mark accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Paul Mark 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.

Is Paul Mark affiliated with any hospitals?

According to CMS data, Paul Mark is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Paul Mark was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.