DR. MARK JUNG STALLWORTH MD
NPI 1912958794
Radiology - Diagnostic Radiology in Winston Salem, NC
About Dr. Mark Jung Stallworth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK JUNG STALLWORTH MD (NPI 1912958794) is an individual diagnostic radiology provider in Winston Salem, North Carolina, licensed in North Carolina (9401055) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 6
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 (PECOS)
Dr. Mark Jung Stallworth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27103 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.
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
WINSTON-SALEM, NC 27103
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
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 Stallworth's NPI number?
The NPI number for Mark Stallworth is 1912958794. It was assigned to this individual provider in the NPPES registry on May 15, 2006.
Where is Mark Stallworth located?
Mark Stallworth practices at 1900 S Hawthorne Rd, Winston Salem, NC 27103. The listed phone number is (336) 970-5300.
What is Mark Stallworth's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Mark Stallworth enrolled in Medicare?
Yes. Mark Stallworth is registered in the Medicare PECOS enrollment system.
What insurance does Mark Stallworth accept?
Health plans from Blue Cross and Blue Shield of NC list Mark Stallworth 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 Stallworth was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Mark Jung Stallworth, MD · NPI 1912958794
Diagnostic Radiology physician in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since May 15, 2006.
## Identity
- **NPI:** 1912958794 (Entity type: Individual)
- **Enumerated:** May 15, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 9401055 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 S HAWTHORNE RD, Winston Salem, NC 27103-3913
- **Phone:** (336) 970-5300 · **Fax:** (336) 659-2379
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 14, 2016
- **Other identifiers:** Medicare PIN 2201366P (NC); Medicaid 8979159 (NC); Medicare PIN 2201366M (NC); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1912958794) · Data from the CMS NPPES public registry.