Mark Medford, M.D.
NPI 1033159041 · Specialist · Pinehurst, NC
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Medford, M.D. is a Specialist provider in Pinehurst, NC (NPI 1033159041).
Provider details
- NPI number
- 1033159041
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 009900299 (NC)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,006 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 708 | $75 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 179 | $109 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 55 | $167 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 33 | $114 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 31 | $125 |
Typical Medicare-allowed amounts for these services range $75–$167 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 40 | 13 |
| Isosorbide Mononitratebrand: Isosorbide Mononitrate Er | 36 | — |
| Amlodipine Besylate | 35 | 12 |
| Apixabanbrand: Eliquis | 32 | — |
| Losartan Potassium | 31 | — |
| Carvedilol | 26 | — |
| Furosemide | 26 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$52 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-07
- Last updated
- 2024-10-02
Frequently asked questions
- What is Mark Medford's NPI number?
- Mark Medford's National Provider Identifier (NPI) is 1033159041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Medford's specialty?
- Mark Medford is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Mark Medford located?
- Mark Medford's practice location on file with NPPES is 155 Memorial Dr, Pinehurst, NC 28374-8710.
- What is Mark Medford's phone number?
- The practice phone number listed in the NPPES registry for Mark Medford is (910) 715-2164.
- Does Mark Medford accept Medicare?
- Mark Medford is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Medford's NPI active?
- Yes — Mark Medford's NPI (1033159041) is active in the NPPES registry as of the last update on 2024-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.