MARK DEBRUNNER
NPI 1952568362
Pediatrics in Pittsburgh, PA

Active since May 22, 2008PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
1 CHILDRENS HOSPITAL DR, 4401 PENN AVE. FACULTY PAVILLION 5TH FLOOR, PITTSBURGH, PA 15224(412) 692-8541 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Debrunner NPPES

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

MARK DEBRUNNER (NPI 1952568362) is an individual pediatrics provider in Pittsburgh, Pennsylvania, licensed in Indiana (110139538) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Upmc Children's Hospital Of Pittsburgh, and is a graduate of Wright State University Boonshoft School Of Medicine (2004).

NPPES Registry Identity

NPI1952568362
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMARK DEBRUNNER
Location Address1 CHILDRENS HOSPITAL DR, 4401 PENN AVE. FACULTY PAVILLION 5TH FLOORPittsburgh, PA 15224-1529
Mailing Address1 Childrens Hospital Dr, 4401 Penn Ave. Faculty Pavillion 5th FloorPittsburgh, PA 15224-1529
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2004
Enumeration DateMay 22, 2008
Last NPPES UpdateMay 24, 2021
NPI 1952568362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IN · 110139538
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1 CHILDRENS HOSPITAL DR, Pittsburgh, PA 15224

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 Debrunner 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 ID6406035518
PECOS Enrollment IDI20110121000274
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.

Hospital Affiliations CMS Care Compare

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

Upmc Children's Hospital Of Pittsburgh

Childrens · Pittsburgh, PA
OwnershipVoluntary non-profit - Other
CMS Certification Number393302
LocationOne Children's Hospital DrivePittsburgh, PA 15224 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15224 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Physician Assistant
1 CHILDRENS HOSPITAL DR, 4401 PENN AVENUE
PITTSBURGH, PA 15224
Physician Assistant
1 CHILDRENS HOSPITAL DR, ONE CHILDREN'S HOSPITAL DRIVE
PITTSBURGH, PA 15224
Nurse Anesthetist, Certified Registered
1 CHILDRENS HOSPITAL DR, 4401 PENN AVENUE
PITTSBURGH, PA 15224
Surgery (Pediatric Surgery)
1 CHILDRENS HOSPITAL DR, 4401 PENN AVENUE
PITTSBURGH, PA 15224
Pediatrics (Pediatric Cardiology)
1 CHILDRENS HOSPITAL DR, 4401 PENN AVE
PITTSBURGH, PA 15224
Pediatrics
1 CHILDRENS HOSPITAL DR
PITTSBURGH, PA 15224
Surgery (Pediatric Surgery)
1 CHILDRENS HOSPITAL DR
PITTSBURGH, PA 15224
Pediatrics (Pediatric Endocrinology)
1 CHILDRENS HOSPITAL DR, 4401 PENN AVENUE
PITTSBURGH, PA 15224

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 Debrunner's NPI number?

The NPI number for Mark Debrunner is 1952568362. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Mark Debrunner located?

Mark Debrunner practices at 1 Childrens Hospital Dr 4401 Penn Ave. Faculty Pavillion 5th Floor, Pittsburgh, PA 15224. The listed phone number is (412) 692-8541.

What is Mark Debrunner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mark Debrunner enrolled in Medicare?

Yes. Mark Debrunner 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.

Is Mark Debrunner affiliated with any hospitals?

According to CMS data, Mark Debrunner is affiliated with Upmc Children's Hospital Of Pittsburgh.

When was this NPI record last updated?

The NPPES record for Mark Debrunner was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.