1. Home
  2. Directory
  3. California
  4. Ukiah
  5. Family Medicine
  6. NPI Profile

DR. MARK TIMOTHY MCVAY DO
NPI 1841255056
Family Medicine in Ukiah, CA

Active since April 19, 2006PECOS Enrolled
77.32/100
CMS Quality Rating
260 HOSPITAL DR STE 204, UKIAH, CA 95482(707) 467-5220(707) 468-9179 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2024, Jun 9, 2020, Dec 11, 2018 (3 updates tracked since 2018).

About Dr. Mark Timothy Mcvay Do NPPES

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

DR. MARK TIMOTHY MCVAY DO (NPI 1841255056) is an individual family medicine provider in Ukiah, California, licensed in California (20A22842) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841255056
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK TIMOTHY MCVAYCredential: DO
Location Address260 HOSPITAL DR STE 204Ukiah, CA 95482-4568
Mailing Address260 Hospital Dr Ste 204Ukiah, CA 95482-4568 · (707) 467-5220 · Fax (707) 468-9179
Phone(707) 467-5220
Fax(707) 468-9179
Sole ProprietorNo
Enumeration DateApril 19, 2006
Last NPPES UpdateOctober 15, 20243 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1841255056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · 20A22842✔ Licensed in KS · 05-32303
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 ListedHospitalistTaxonomy 208M00000X · License 22842 (CA)
260 HOSPITAL DR STE 204, Ukiah, CA 95482
Open in Google Maps ↗

Other Identifiers 2

Medicaid445723AZ
Medicaid200424580CKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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 Timothy Mcvay Do 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 Mcvay reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Galen Inpatient Physician
0.1 mi
Internal Medicine
275 HOSPITAL DR
Ukiah, CA 95482
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Galen Inpatient Physicians PC
  • 962 clinicians in this Medicare group
NPI 1265524441 (707) 462-3111
Susan B. Allen Memorial Hospital
1,422 mi
Family Medicine
401 W 7TH AVE
Augusta, KS 67010
  • Reassigned Medicare billing, Kansas enrollment
  • 34 clinicians in this Medicare group
NPI 1922520832 (316) 558-8668

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 95482 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

77.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.05
Promoting Interoperability100
Improvement Activities40
Cost51.69

Other Providers at the Same Location NPPES 7

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

LINDSAY HELVEY APRN, FNP-C
Nurse Practitioner (Family)
260 HOSPITAL DR STE 204
UKIAH, CA 95482
Mendocino County (707) 467-4327
MRS. JENNIFER MICHELLE GUTH N.P.
Nurse Practitioner
260 HOSPITAL DR STE 204
UKIAH, CA 95482
Mendocino County (707) 463-8032
MRS. LESLIE CAROL ORTIZ PNP
Nurse Practitioner (Pediatrics)
260 HOSPITAL DR STE 204
UKIAH, CA 95482
Mendocino County (707) 463-7459
JULIA REGINA KATSUURA MD
Pediatrics
260 HOSPITAL DR STE 204
UKIAH, CA 95482
Mendocino County (707) 463-7459
MIRIAM BRADSHAW ELLIS LCSW
Social Worker (Clinical)
260 HOSPITAL DR STE 204
UKIAH, CA 95482
Mendocino County (707) 463-7428
ARLENE FLORES DO
Family Medicine
260 HOSPITAL DR STE 204
UKIAH, CA 95482
Mendocino County (707) 467-4327
DR. EMILY ANN BENDER M.D.
Family Medicine
260 HOSPITAL DR STE 204
UKIAH, CA 95482
Mendocino County (707) 467-5220

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 Mcvay's NPI number?

The NPI number for Mark Mcvay is 1841255056. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Mark Mcvay located?

Mark Mcvay practices at 260 Hospital Dr Ste 204, Ukiah, CA 95482. The listed phone number is (707) 467-5220.

What is Mark Mcvay's specialty?

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

Is Mark Mcvay enrolled in Medicare?

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

Which organizations bill Medicare for Mark Mcvay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Mcvay reassigns Medicare benefits to 2 organizations: Galen Inpatient Physician (Ukiah, CA) and Susan B. Allen Memorial Hospital (Augusta, KS). 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 Mcvay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Mcvay accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma list Mark Mcvay 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 Mcvay was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.