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MARK A MCCONN MD
NPI 1952361354
Family Medicine in West Palm Beach, FL

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
218 ROYAL PALM WAY, WEST PALM BEACH, FL 33432(561) 340-5780(561) 340-5788 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark A Mcconn Md NPPES

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

MARK A MCCONN MD (NPI 1952361354) is an individual family medicine provider in West Palm Beach, Florida, licensed in Florida (ME84294) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Jupiter Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1952361354
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK A MCCONNCredential: MD
Location Address218 ROYAL PALM WAYWest Palm Beach, FL 33432
Mailing Address218 Royal Palm WayWest Palm Beach, FL 33480
Phone(561) 340-5780
Fax(561) 340-5788
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMarch 28, 2006
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1952361354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME84294
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
218 ROYAL PALM WAY, West Palm Beach, FL 33432
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Other Identifiers 1

Medicaid02414359NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Molina Healthcare, Oscar Health Maintenance Organization of Florida 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

Mark A Mcconn 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.

PECOS PAC ID8527154574
PECOS Enrollment IDI20220120001005
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 3

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 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.
132 services41 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.
53 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
18 services16 patients

Hospital Affiliations CMS Care Compare

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

Jupiter Medical Center

Acute Care Hospitals · Jupiter, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100253
Location1210 S Old Dixie HwyJupiter, FL 33458 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33432 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$65.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mcconn's NPI number?

The NPI number for Mark Mcconn is 1952361354. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Mark Mcconn located?

Mark Mcconn practices at 218 Royal Palm Way, West Palm Beach, FL 33432. The listed phone number is (561) 340-5780.

What is Mark Mcconn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Mcconn enrolled in Medicare?

Yes. Mark Mcconn 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 Mcconn accept?

Health plans from AmeriHealth Caritas Next, Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Mark Mcconn 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 Mcconn affiliated with any hospitals?

According to CMS data, Mark Mcconn is affiliated with Jupiter Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Mcconn was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.