Individual provider Active NPI

Mark W Scioli, M.D.

  • Specialist
  • Lubbock, TX
National Provider Identifier
1619971249
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G3774 Issued in TX
Practice address
4642 N Loop 289
Ste 101
Lubbock, TX 79416-2422
Phone
(806) 797-4985
Fax
(806) 792-8588
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G3774 TX Primary

Addresses

Primary practice location

4642 N Loop 289
Ste 101
Lubbock, TX 79416-2422

Mailing address

4642 N Loop 289
Ste 101
Lubbock, TX 79416-2422
Phone (806) 797-4985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100428000079 TX Practitioner - Orthopedic Surgery 4587754866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas Tech University Health Science Center School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Orthopedic Surgery L.L.P.Group PAC ID 3173579844, 13 clinicians

Practice addresses (Care Compare)

301 Utica Ave
Lubbock, TX 79416-3111
Phone (806) 797-4985

Hospital & facility affiliations

  • Excelacare Home Health Home health agency, Lubbock, TX, CCN 677566
  • Lubbock Heart Hospital LP Hospital, Lubbock, TX, CCN 450876
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • University Medical Center Hospital, Lubbock, TX, CCN 450686

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement27
Spinal fusion56
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)14
Melanoma (skin cancer) excision1-10
Removal of tissue21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G3774TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilbarger County Hospital District CurrentSince Oct 1, 2022 Accepting new patients
Center for Orthopedic Surgery L.L.P. CurrentSince Feb 27, 1983 Accepting new patients
Wilbarger County Hospital District CurrentSince Oct 1, 2022 Accepting new patients
Jason a Ramsey Mdpa Sportszone Orthopedics PastSince Jan 4, 2026 Accepting new patients

Locations

301 Utica Ave
Lubbock, TX 79416
Phone (806) 797-4985

4642 N Loop 289
Ste 101
Lubbock, TX 79416
Phone (806) 797-4985

920 Hillcrest Dr
Vernon, TX 76384
Phone (940) 552-9351

4301 College Dr
Vernon, TX 76384
Phone (940) 552-9351

Organizations & group practices 4

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 8

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1619971249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4642 N LOOP 289",
            "address_2": "STE 101",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794162422",
            "telephone_number": "806-797-4985",
            "fax_number": "806-792-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4642 N LOOP 289",
            "address_2": "STE 101",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794162422",
            "telephone_number": "806-797-4985",
            "fax_number": "806-792-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIOLI",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G3774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.