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MARK A ENGEL MD
NPI 1851352793
Family Medicine in Bryson City, NC

Active since March 30, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
45 PLATEAU ST, SUITE 250, BRYSON CITY, NC 28713(828) 488-4205(828) 488-4240 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark A Engel Md NPPES

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

MARK A ENGEL MD (NPI 1851352793) is an individual family medicine provider in Bryson City, North Carolina, licensed in North Carolina (200000411) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Dlp Swain County Hospital Llc, and is a graduate of Oregon Health Sciences University School Of Medicine (1997).

NPPES Registry Identity

NPI1851352793
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK A ENGELCredential: MD
Location Address45 PLATEAU ST, SUITE 250Bryson City, NC 28713
Mailing Address45 Plateau StBryson City, NC 28713-4200 · (828) 488-4205 · Fax (828) 488-4240
Phone(828) 488-4205
Fax(828) 488-4240
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1997
Enumeration DateMarch 30, 2006
Last NPPES UpdateSeptember 4, 2012
✔ NPI 1851352793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 200000411
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.
45 PLATEAU ST, Bryson City, NC 28713
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Other Identifiers 3

Medicaid89126N9NC
Medicare UPINH16146
Medicare ID-Type Unspecified2280620C

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc, Oscar Insurance Company.Insurance ›

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 A Engel Md 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 ID9032383757
PECOS Enrollment IDI20111115000486
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 5

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
162 services149 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
48 services47 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
35 services35 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
29 services28 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Dlp Swain County Hospital LLC

Critical Access Hospitals · Bryson City, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341305
Location45 Plateau StreetBryson City, NC 28713 · Swain County
Emergency services

Alleghany Memorial Hospital

Critical Access Hospitals · Sparta, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341320
Location233 Doctors StreetSparta, NC 28675 · Alleghany County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28713 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%33 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier11 claims11 services$11.96 avg. paid by Medicare
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress E0303
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$147.46 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 20

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

SWAIN COUNTY HOSPITAL, INC.
General Acute Care Hospital (Critical Access)
45 PLATEAU ST
BRYSON CITY, NC 28713
Swain County (828) 586-7000
SWAIN COUNTY HOSPITAL, INC.
General Acute Care Hospital (Critical Access)
45 PLATEAU ST
BRYSON CITY, NC 28713
Swain County (828) 586-7000
SWAIN COUNTY HOSPITAL, INC.
General Acute Care Hospital (Critical Access)
45 PLATEAU ST
BRYSON CITY, NC 28713
Swain County (828) 586-7000
SWAIN INTEGRATED SERVICES, PC
Emergency Medicine
45 PLATEAU ST
BRYSON CITY, NC 28713
Swain County (828) 488-2155
ANNA H. WALLS OCCUPATIONAL THERAPY
Occupational Therapist
45 PLATEAU ST
BRYSON CITY, NC 28713
Swain County (828) 488-4009
SWAIN COUNTY HOSPITAL, INC.
General Acute Care Hospital (Critical Access)
45 PLATEAU ST
BRYSON CITY, NC 28713
Swain County (828) 631-1725
VALERIE LEIGH RIGG M.D.
Family Medicine
45 PLATEAU ST, STE 250
BRYSON CITY, NC 28713
Swain County (828) 488-4205
DR. THOMAS ROBERT VAJEN MD
Emergency Medicine
45 PLATEAU ST
BRYSON CITY, NC 28713
Swain County (828) 488-2155

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 Engel's NPI number?

The NPI number for Mark Engel is 1851352793. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Mark Engel located?

Mark Engel practices at 45 Plateau St Suite 250, Bryson City, NC 28713. The listed phone number is (828) 488-4205.

What is Mark Engel's specialty?

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

Is Mark Engel enrolled in Medicare?

Yes. Mark Engel 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.

What insurance does Mark Engel accept?

Health plans from Oscar Health Plan of North Carolina, Inc and Oscar Insurance Company list Mark Engel 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 Mark Engel affiliated with any hospitals?

According to CMS data, Mark Engel is affiliated with Dlp Swain County Hospital LLC and Alleghany Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mark Engel was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.