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DR. MARK ALAN RALPH DMD
NPI 1851480628
Dentist - General Practice in Evansville, IN

Active since October 12, 2006Opted out of Medicare · through Nov 12, 2027
400 E DIAMOND AVE, EVANSVILLE, IN 47711(812) 461-2365(812) 461-2366 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Alan Ralph Dmd NPPES

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

DR. MARK ALAN RALPH DMD (NPI 1851480628) is an individual general practice provider in Evansville, Indiana, licensed in Indiana (12012871A) and active in the NPI registry since October 2006. He has opted out of Medicare through November 12, 2027 and remains eligible to order and refer and maintains a secondary practice location in Huntsville.

NPPES Registry Identity

NPI1851480628
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK ALAN RALPHCredential: DMD
Location Address400 E DIAMOND AVEEvansville, IN 47711-3714
Mailing Address2353 Whitesburg DriveHuntsville, AL 35801 · (256) 533-3735 · Fax (256) 533-3780
Phone(812) 461-2365
Fax(812) 461-2366
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateMarch 17, 2018
✔ NPI 1851480628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12012871A
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 4813 (AL)
400 E DIAMOND AVE, Evansville, IN 47711
Open in Google Maps ↗

Secondary Practice Location 1

Location 12353 Whitesburg DriveHuntsville, AL 35801 · Phone (256) 533-3735 · Fax (256) 533-3780

Other Identifiers 1

Other5151085AL · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mark Alan Ralph Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 12, 2015 through November 12, 2027.

Opt-Out Effective DateNovember 12, 2015
Opt-Out In Effect ThroughNovember 12, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47711 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 3

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

DEREK O GRABER DDS
Dentist (General Practice)
400 E DIAMOND AVE
EVANSVILLE, IN 47711
Vanderburgh County (812) 461-2365
DR. SENAIT HABTE GEBREWOLD DMD
Dentist (General Practice)
400 E DIAMOND AVE
EVANSVILLE, IN 47711
Vanderburgh County (812) 461-2365
DR. MARJORIE MAE CABELL D.M.D.
Dentist (General Practice)
400 E DIAMOND AVE
EVANSVILLE, IN 47711
Vanderburgh County (812) 461-2365

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 Ralph's NPI number?

The NPI number for Mark Ralph is 1851480628. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Mark Ralph located?

Mark Ralph practices at 400 E Diamond Ave, Evansville, IN 47711. The listed phone number is (812) 461-2365.

What is Mark Ralph's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Ralph enrolled in Medicare?

No. Mark Ralph has opted out of Medicare through November 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mark Ralph accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and BEST Life and 8 other insurers list Mark Ralph 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 Ralph was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.