DR. MARK ABDELMALEK M.D.
NPI 1972543155
Dermatology - MOHS-Micrographic Surgery in Philadelphia, PA

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
77.31/100
CMS Quality Rating
200 N 16TH ST STE D, PHILADELPHIA, PA 19102(215) 315-3197(215) 689-4466 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mark Abdelmalek M.d. NPPES

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

DR. MARK ABDELMALEK M.D. (NPI 1972543155) is an individual mohs-micrographic surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD425228) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Hahneman Medical College Of The Pacific (2002).

NPPES Registry Identity

NPI1972543155
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameDR. MARK ABDELMALEKCredential: M.D.
Location Address200 N 16TH ST STE DPhiladelphia, PA 19102-1225
Mailing Address200 N 16th St Ste DPhiladelphia, PA 19102-1225 · (215) 315-3197 · Fax (215) 689-4466
Fax(215) 689-4466
Sole ProprietorNo
Medical School CMSHahneman Medical College Of The PacificGraduated 2002
Enumeration DateJune 7, 2006
Last NPPES UpdateFebruary 12, 2021
NPPES CertifiedFebruary 12, 2021
✔ NPI 1972543155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Licenses✔ Licensed in PA · MD425228✔ Licensed in NJ · 25MA10197000
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X · License MD425228 (PA), 25MA10197000 (NJ)
200 N 16TH ST STE D, Philadelphia, PA 19102

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Abdelmalek M.d. 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 ID6204830839
PECOS Enrollment IDI20180423002172
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

3

Medicare enrollment records show Mark Abdelmalek reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

MOHS-Micrographic Surgery
200 N 16TH ST STE D
Philadelphia, PA 19102
  • Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
  • 2 clinicians in this Medicare group
Specialist
707 WHITE HORSE RD, SUITE C103
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 clinicians in this Medicare group
MOHS-Micrographic Surgery
2301 E EVESHAM RD STE 203
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group

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 33

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
389 services70 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
375 services313 patients
Kerecis omega3, per square centimeter Q4158
Kerecis Omega3 is a wound treatment that uses fish skin, rich in Omega3, to help heal your wounds. The fish skin, applied per square centimeter of the wound, aids in tissue regeneration and reduces infection risk.
255 services12 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.
213 services160 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
141 services120 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
141 services108 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

77.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost24.39

Other Providers at the Same Location NPPES 6

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

Dermatology
200 N 16TH ST STE D
PHILADELPHIA, PA 19102
Dermatology
200 N 16TH ST STE D
PHILADELPHIA, PA 19102
Physician Assistant (Medical)
200 N 16TH ST STE D
PHILADELPHIA, PA 19102
Dermatology
200 N 16TH ST STE D
PHILADELPHIA, PA 19102
Physician Assistant (Medical)
200 N 16TH ST STE D
PHILADELPHIA, PA 19102
Dermatology (MOHS-Micrographic Surgery)
200 N 16TH ST STE D
PHILADELPHIA, PA 19102

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 Abdelmalek's NPI number?

The NPI number for Mark Abdelmalek is 1972543155. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Mark Abdelmalek located?

Mark Abdelmalek practices at 200 N 16th St Ste D, Philadelphia, PA 19102. The listed phone number is (215) 315-3197.

What is Mark Abdelmalek's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Mark Abdelmalek enrolled in Medicare?

Yes. Mark Abdelmalek 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.

Which organizations bill Medicare for Mark Abdelmalek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Abdelmalek reassigns Medicare benefits to 3 organizations: Dermatology Of Philadelphia / Mohs Surgery Center, LLC (Philadelphia, PA), Macaione & Papa Dermatology Associates, PA (Voorhees, NJ) and Dermatology Of South Jersey LLC (Voorhees, NJ). 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 Abdelmalek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Abdelmalek accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mark Abdelmalek 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 Abdelmalek was last updated on February 12, 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.