MARK CIPRIANI JR. M.D.
NPI 1871974022
Family Medicine - Sports Medicine in Rochester, MN

Active since June 13, 2015PECOS EnrolledAccepts Medicare Assignment
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2019, Mar 17, 2017 (2 updates tracked since 2017).

About Mark Cipriani Jr. M.d. NPPES

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

MARK CIPRIANI JR. M.D. (NPI 1871974022) is an individual sports medicine provider in Rochester, Minnesota, licensed in Ohio (35.137170) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Summa Health System, and is a graduate of University Of Utah School Of Medicine (2015).

NPPES Registry Identity

NPI1871974022
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameMARK CIPRIANI JR.Credential: M.D.
Location Address200 1ST ST SWRochester, MN 55905-0001
Mailing Address1 Park West Blvd Ste 330Akron, OH 44320-4226 · (330) 835-5533 · Fax (234) 312-2341
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2015
Enumeration DateJune 13, 2015
Last NPPES UpdateOctober 14, 20192 updates tracked since enumeration
NPI 1871974022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in OH · 35.137170
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
200 1ST ST SW, Rochester, MN 55905

Accepted 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 Cipriani Jr. 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 ID9335452960
PECOS Enrollment IDI20191010002346
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 7

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
200 services62 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.
85 services62 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
53 services32 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
36 services30 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.
35 services35 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.
33 services27 patients

Hospital Affiliations CMS Care Compare

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

Summa Health System

Acute Care Hospitals · Akron, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360020
Location525 East Market StreetAkron, OH 44309 · Summit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Cipriani's NPI number?

The NPI number for Mark Cipriani is 1871974022. It was assigned to this individual provider in the NPPES registry on June 13, 2015.

Where is Mark Cipriani located?

Mark Cipriani practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Mark Cipriani's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Mark Cipriani enrolled in Medicare?

Yes. Mark Cipriani 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 Cipriani accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual and 2 other insurers list Mark Cipriani 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 Cipriani affiliated with any hospitals?

According to CMS data, Mark Cipriani is affiliated with Summa Health System.

When was this NPI record last updated?

The NPPES record for Mark Cipriani was last updated on October 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.