Individual provider Active NPI

Mark W Evans, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Lancaster, PA
National Provider Identifier
1457571325
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC003096L Issued in PA
Practice address
2101 Embassy Dr
Lancaster, PA 17603-2387
Phone
(717) 735-7410
Fax
(717) 735-7438
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X SC-003096L PA
Podiatrist 213E00000X SC003096L PA
Foot & Ankle Surgery Podiatrist 213ES0103X SC003096L PA Primary

Addresses

Primary practice location

2101 Embassy Dr
Lancaster, PA 17603-2387

Mailing address

2101 Embassy Dr
Lancaster, PA 17603-2387
Phone (717) 735-7410

Other identifiers 3

IdentifierTypeStateIssuer
1182516MedicaidPA
480006659OtherPAPALMETTO
02645500OtherPACAPITAL BLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mevans64598@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928001068 PA Practitioner - Podiatry 2769508605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians
Pinnacle Health Regional PhysiciansGroup PAC ID 7416228358, 158 clinicians

Practice addresses (Care Compare)

2101 Embassy Dr
Surgical Specialists Upmc
Lancaster, PA 17603-2387
Phone (717) 735-7410

90 Good Dr
Suite 101
Lancaster, PA 17603-4360
Phone (717) 299-3020

Hospital & facility affiliations

  • Upmc Lititz Hospital, Lititz, PA, CCN 390068
  • Upmc Memorial Hospital, York, PA, CCN 390101

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue169
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC-003096LPAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Nov 23, 2020 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Nov 23, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2019 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2019 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

1251 E Main St
Ste 3
Annville, PA 17003
Phone (717) 988-0555

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

233 College Ave
Ste 203
Lancaster, PA 17603
Phone (717) 396-9167

2101 Embassy Dr
Lancaster, PA 17603
Phone (717) 735-7410

90 Good Dr
Ste 101
Lancaster, PA 17603
Phone (717) 299-3020

1575 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 358-7653

1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000

Interoperability endpoints

  • Direct secure messaging: mevans286820@upmc.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1457571325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 EMBASSY DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032387",
            "telephone_number": "717-735-7410",
            "fax_number": "717-735-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 EMBASSY DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032387",
            "telephone_number": "717-735-7410",
            "fax_number": "717-735-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC-003096L",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003096L",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC003096L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1182516",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "480006659",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02645500",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mevans64598@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2101 EMBASSY DR",
            "city": "LANCASTER",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176032387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.