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MARK W TUCCILLO DO
NPI 1942237441
Family Medicine - Sports Medicine in Petersburg, AK

Active since June 28, 2006PECOS Enrolled
103 FRAM STREET, PETERSBURG, AK 99833(907) 772-4299 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mark W Tuccillo Do NPPES

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

MARK W TUCCILLO DO (NPI 1942237441) is an individual sports medicine provider in Petersburg, Alaska, licensed in Alaska (AA2935) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Rowan University School Of Osteopathic Medicine (1989).

NPPES Registry Identity

NPI1942237441
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameMARK W TUCCILLOCredential: DO
Location Address103 FRAM STREETPetersburg, AK 99833-0589
Mailing AddressPo Box 2120Petersburg, AK 99833-2120 · (907) 772-3975
Phone(907) 772-4299
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 1989
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942237441 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 AK · AA2935
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.
103 FRAM STREET, Petersburg, AK 99833
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark W Tuccillo Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648338723
PECOS Enrollment IDI20081017000457, I20090612000311
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Tuccillo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Petersburg Medical Center
Same address
Critical Access
103 FRAM STREET
Petersburg, AK 99833
  • Reassigned Medicare billing, Alaska enrollment
  • 16 clinicians in this Medicare group
NPI 1437122843 (907) 772-4291
Southeast Alaska Regional Health Consortium
Same address
Community/Behavioral Health
100 FRAM STREET
Petersburg, AK 99833
  • Reassigned Medicare billing, Texas enrollment
  • 640 clinicians in this Medicare group
NPI 1174108880 (907) 772-3332

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.
33 services27 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.
28 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99833 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

ELIZABETH POOLE
Nurse Practitioner (Family)
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291
MOLLY PLATT PT
Physical Therapist
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (630) 297-1666
CATHERINE G WICKERT RN
Registered Nurse
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291
JULIE WALKER
Health Educator
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291
THE PETERSBURG MEDICAL CENTER
Skilled Nursing Facility
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291
ANGELA DAWN MENISH APRN, FNP-BC
Nurse Practitioner (Family)
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4299
PHILIP J HOFSTETTER AUDIOLOGIST
Audiologist
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291
MARGARET D FLEMING MS,RD,LD
Dietitian, Registered
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291

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 Tuccillo's NPI number?

The NPI number for Mark Tuccillo is 1942237441. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Mark Tuccillo located?

Mark Tuccillo practices at 103 Fram Street, Petersburg, AK 99833. The listed phone number is (907) 772-4299.

What is Mark Tuccillo's specialty?

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

Is Mark Tuccillo enrolled in Medicare?

Yes. Mark Tuccillo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Tuccillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Tuccillo reassigns Medicare benefits to 2 organizations: The Petersburg Medical Center (Petersburg, AK) and Southeast Alaska Regional Health Consortium (Petersburg, AK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Tuccillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Tuccillo accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Mark Tuccillo 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 Tuccillo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.