Mark Frederick Medley, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

9501604 Issued in NC

Practice address

2739 Iron Gate Dr
Wilmington, NC 28412-3731

Phone

(910) 763-7363

Fax

(910) 251-8296

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

General Surgery

Education

University of Alabama School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilmington Surgical Associates PAGroup PAC ID 0749186575, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Merit-based Incentive Payment System (MIPS)

Final score

79.8 of 100Reported as group

Quality

46.35

Promoting interoperability

97

Improvement activities

40

Cost

88.83

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmedley1249314@direct.novanthealth.org
• FHIR API: https://fhir4.healow.com/fhir/r4/BFAIBD
• Direct secure messaging: mark.medley@wilmsurg.eclinicaldirectplus.com
• FHIR API: https://api.platform.athenahealth.com/11560/brand/1/csg/1/fhir/r4

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.

• Wilmington Surgical Associates PA

  • Specialist
  • Wilmington, NC
  • NPI 1003821547
  Medicare reassignment Care Compare group NPD

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

• Novant Health New Hanover Regional Medical Center LLC

  dba Novant Health New Hanover Regional Medical Center

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1780664086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 IRON GATE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123731",
            "telephone_number": "910-763-7363",
            "fax_number": "910-251-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 IRON GATE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123731",
            "telephone_number": "910-763-7363",
            "fax_number": "910-251-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLEY",
        "first_name": "MARK",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "9501604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Center Home Care LLC (Medical Center Pharmacy)
• Medical Center Pharmacy of Wilmington, Inc.
• Medical Center Pharmacy of Wilmington, LLC (Medical Center Specialty Pharmacy)
• Nicole Elizabeth Medina, LCMHCA
• Medisave Inc (KING'S PHARMACY & Compounding Lab)
• Colette Medlin
• Edith M. Medlin
• Medo Psych Consult LLC
• Medox Healthcare Inc
• Elisha Medrano

• Surgery Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.