MARK STICE
NPI 1962062406
Emergency Medicine in Indianapolis, IN

Active since June 17, 2019PECOS EnrolledAccepts Medicare Assignment
1120 W MICHIGAN ST # CL285, INDIANAPOLIS, IN 46202(317) 278-0042 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2023, Jun 17, 2019 (2 updates tracked since 2019).

About Mark Stice NPPES

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

MARK STICE (NPI 1962062406) is an individual emergency medicine provider in Indianapolis, Indiana, licensed in Indiana (01089719A) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Paul, and is a graduate of University Of Minnesota Medical School (2019).

NPPES Registry Identity

NPI1962062406
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARK STICE
Location Address1120 W MICHIGAN ST # CL285Indianapolis, IN 46202-5209
Mailing Address1120 W Michigan St # Cl285Indianapolis, IN 46202-5209
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2019
Enumeration DateJune 17, 2019
Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
NPI 1962062406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IN · 01089719A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1120 W MICHIGAN ST # CL285, Indianapolis, IN 46202

Secondary Practice Location 1

Location 1640 Jackson StSaint Paul, MN 55101-2502 · Phone (651) 254-3456

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 and accepts Medicare assignment

Mark Stice 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 ID6709116080
PECOS Enrollment IDI20250630001387
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1120 W MICHIGAN ST # CL285
INDIANAPOLIS, IN 46202
Internal Medicine (Pulmonary Disease)
1120 W MICHIGAN ST # CL285
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL285
INDIANAPOLIS, IN 46202
Internal Medicine
1120 W MICHIGAN ST # CL285
INDIANAPOLIS, IN 46202
Internal Medicine
1120 W MICHIGAN ST # CL285
INDIANAPOLIS, IN 46202

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 Stice's NPI number?

The NPI number for Mark Stice is 1962062406. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Mark Stice located?

Mark Stice practices at 1120 W Michigan St # Cl285, Indianapolis, IN 46202. The listed phone number is (317) 278-0042.

What is Mark Stice's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Stice enrolled in Medicare?

Yes. Mark Stice 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 Stice accept?

Health plans from Medica list Mark Stice 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 Stice was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.