1. Home
  2. Directory
  3. North Carolina
  4. Apex
  5. Family Medicine
  6. NPI Profile

MARK IAN MACPHERSON D.O.
NPI 1962433805
Family Medicine in Apex, NC

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
120 HEALTHPLEX WAY, APEX, NC 27502(919) 350-0550 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Ian Macpherson D.o. NPPES

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

MARK IAN MACPHERSON D.O. (NPI 1962433805) is an individual family medicine provider in Apex, North Carolina, licensed in North Carolina (9600990) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1993).

NPPES Registry Identity

NPI1962433805
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK IAN MACPHERSONCredential: D.O.
Location Address120 HEALTHPLEX WAYApex, NC 27502-8403
Mailing Address2920 Highwoods BlvdRaleigh, NC 27604-0010 · (877) 498-4490
Phone(919) 350-0550
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1993
Enumeration DateJuly 6, 2006
Last NPPES UpdateMarch 9, 2021
NPPES CertifiedMarch 9, 2021
✔ NPI 1962433805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 9600990
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.
120 HEALTHPLEX WAY, Apex, NC 27502
Open in Google Maps ↗

Other Identifiers 1

Medicaid8954318NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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 Ian Macpherson D.o. 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 ID7618972456
PECOS Enrollment IDI20060928000526
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 6

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.
155 services112 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
95 services95 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.
76 services73 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
75 services49 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services35 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27502 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers25 claims49 services$4.59 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers11 claims11 services$32.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

JENNIFER DESILVER DPT, ATC
Physical Therapist
120 HEALTHPLEX WAY
APEX, NC 27502
Wake County (919) 350-0554
WAKE EMERGENCY PHYSICIANS PA
Emergency Medicine
120 HEALTHPLEX WAY
APEX, NC 27502
Wake County (843) 237-3378
WAKE SPECIALTY PHYSICIANS, LLC
Family Medicine
120 HEALTHPLEX WAY
APEX, NC 27502
Wake County (919) 350-0550
GEOFFREY CHASE IRONS DPT
Physical Therapist
120 HEALTHPLEX WAY
APEX, NC 27502
Wake County (919) 232-5020
THERESA CAMBRE AMERSON M.D.
Internal Medicine
120 HEALTHPLEX WAY
APEX, NC 27502
Wake County (919) 350-0550
DR. RAGINI T MADAN MD
Family Medicine
120 HEALTHPLEX WAY, SUITE 220
APEX, NC 27502
Wake County (919) 350-0550
MARY DORIS COPPEDGE TURNER RDN, LDN
Dietitian, Registered
120 HEALTHPLEX WAY
APEX, NC 27502
Wake County (919) 235-6439
ANIRUDH SHRAY GAJJALA DO
Family Medicine
120 HEALTHPLEX WAY
APEX, NC 27502
Wake County (919) 350-0550

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 Macpherson's NPI number?

The NPI number for Mark Macpherson is 1962433805. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Mark Macpherson located?

Mark Macpherson practices at 120 Healthplex Way, Apex, NC 27502. The listed phone number is (919) 350-0550.

What is Mark Macpherson's specialty?

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

Is Mark Macpherson enrolled in Medicare?

Yes. Mark Macpherson 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 Macpherson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Mark Macpherson 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 Macpherson affiliated with any hospitals?

According to CMS data, Mark Macpherson is affiliated with Wakemed, Raleigh Campus and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Mark Macpherson was last updated on March 9, 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.