1. Home
  2. Directory
  3. North Carolina
  4. Asheville
  5. Ophthalmology
  6. NPI Profile

DR. MARK A JOSEPH M.D.
NPI 1871560862
Ophthalmology in Asheville, NC

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
1 VANDERBILT PARK DR, SUITE 150, ASHEVILLE, NC 28803(828) 693-1773(828) 692-3297 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark A Joseph M.d. NPPES

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

DR. MARK A JOSEPH M.D. (NPI 1871560862) is an individual ophthalmology provider in Asheville, North Carolina, licensed in North Carolina (0090-00908) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of West Virginia University School Of Medicine (1998).

NPPES Registry Identity

NPI1871560862
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARK A JOSEPHCredential: M.D.
Location Address1 VANDERBILT PARK DR, SUITE 150Asheville, NC 28803-1736
Mailing Address1 Vanderbilt Park Dr, Suite 150Asheville, NC 28803-1736 · (828) 277-8233 · Fax (828) 692-3297
Phone(828) 693-1773
Fax(828) 692-3297
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1998
Enumeration DateMarch 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1871560862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NC · 0090-00908
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1 VANDERBILT PARK DR, Asheville, NC 28803
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedJO6031533WV
Medicare UPINH90135
Medicaid2005476000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next and more.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

Dr. Mark A Joseph 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 ID4880583244
PECOS Enrollment IDI20070129000774
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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,172 services125 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
665 services634 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
490 services341 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
413 services274 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
392 services237 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
250 services250 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340023
Location100 Hospital DriveHendersonville, NC 28792 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28803 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
1%1,132 patients
Diabetes: Eye Exam
99%215 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
50%42 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
29%114 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,968 patients
Patients totalRate: 0% · 1,968 patients
0%1,968 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 4

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers16 claims16 services$59.93 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier14 claims28 services$46.73 avg. paid by Medicare
Prism, per lens V2715
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier14 claims28 services$9.68 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers18 claims36 services$11.30 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 19

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

MRS. LYDIA TAYLOR PIERCE P.T.
Physical Therapist
1 VANDERBILT PARK DR, SUITE 120
ASHEVILLE, NC 28803
Buncombe County (828) 277-6957
COMBINED THERAPY SPECIALTIES OF ASHEVILLE INC
Physical Therapist
1 VANDERBILT PARK DR, SUITE 120
ASHEVILLE, NC 28803
Buncombe County (828) 277-6957
DR. ELIZABETH F GARDNER M.D.
Internal Medicine
1 VANDERBILT PARK DR, SUITE 200
ASHEVILLE, NC 28803
Buncombe County (828) 274-9920
TAYLOR IBRAHIM LOVE DO
Family Medicine
1 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Buncombe County (828) 712-3173
G.S. HODGES, DDS
Dentist
1 VANDERBILT PARK DR, SUITE 260
ASHEVILLE, NC 28803
Buncombe County (828) 274-8088
DR. BOB L. HARRIS DDS, PA
Dentist (General Practice)
1 VANDERBILT PARK DR, STE 220
ASHEVILLE, NC 28803
Buncombe County (828) 277-2214
HAMILTON SOUND, LLC
Audiologist
1 VANDERBILT PARK DR, SUITE 110
ASHEVILLE, NC 28803
Buncombe County (828) 277-1000
DR. THOMAS SCOTT REHM DPM
Podiatrist
1 VANDERBILT PARK DR, SUITE 100
ASHEVILLE, NC 28803
Buncombe County (828) 277-8042

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 Joseph's NPI number?

The NPI number for Mark Joseph is 1871560862. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Mark Joseph located?

Mark Joseph practices at 1 Vanderbilt Park Dr Suite 150, Asheville, NC 28803. The listed phone number is (828) 693-1773.

What is Mark Joseph's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mark Joseph enrolled in Medicare?

Yes. Mark Joseph 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 Joseph accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and First Choice Next and 3 other insurers list Mark Joseph 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 Joseph affiliated with any hospitals?

According to CMS data, Mark Joseph is affiliated with Memorial Mission Hospital And Asheville Surgery Ce and Adventhealth Hendersonville.

When was this NPI record last updated?

The NPPES record for Mark Joseph was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.