MARK ETTORE MD
NPI 1902250244
Anesthesiology - Pediatric Anesthesiology in Philadelphia, PA
About Mark Ettore Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK ETTORE MD (NPI 1902250244) is an individual pediatric anesthesiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT210596) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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 Ettore 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Ettore's NPI number?
The NPI number for Mark Ettore is 1902250244. It was assigned to this individual provider in the NPPES registry on April 22, 2016.
Where is Mark Ettore located?
Mark Ettore practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-4557.
What is Mark Ettore's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.
Is Mark Ettore enrolled in Medicare?
Yes. Mark Ettore 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.
When was this NPI record last updated?
The NPPES record for Mark Ettore was last updated on May 7, 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.
# Mark Ettore, MD · NPI 1902250244
Pediatric Anesthesiology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 22, 2016.
## Identity
- **NPI:** 1902250244 (Entity type: Individual)
- **Enumerated:** April 22, 2016
- **Primary specialty:** Anesthesiology - Pediatric Anesthesiology · taxonomy 207LP3000X
- **State license:** MT210596 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, Philadelphia, PA 19104-4319
- **Phone:** (215) 590-4557
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** May 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1902250244) · Data from the CMS NPPES public registry.