Mark Metwally, MD
NPI 1316122823 · Gastroenterology Physician · Burnt Hills, NY
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Metwally, MD is a Gastroenterology Physician provider in Burnt Hills, NY (NPI 1316122823).
Provider details
- NPI number
- 1316122823
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 274634 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
496 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 105 | $163 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 88 | $116 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 84 | $108 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 57 | $112 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 45 | $223 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 33 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 409 | 111 |
| Famotidine | 227 | 50 |
| Pantoprazole Sodium | 189 | 52 |
| Mesalamine | 92 | 24 |
| Lansoprazole | 45 | 13 |
| Linaclotidebrand: Linzess | 43 | 11 |
| Balsalazide Disodium | 41 | 12 |
| Esomeprazole Magnesium |
Practice location
Mailing address
Additional practice locations (2)
- 1770 Route 9Halfmoon, NY 12065-2495Phone: (518) 831-1500Fax: (518) 377-1677
- 1 West Ave Ste 130Saratoga Springs, NY 12866-6050Phone: (518) 831-1500Fax: (518) 377-1677
Registry dates
- Enumerated
- 2008-01-03
- Last updated
- 2025-02-03
- Certified
- 2025-02-03
Frequently asked questions
- What is Mark Metwally's NPI number?
- Mark Metwally's National Provider Identifier (NPI) is 1316122823, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Metwally's specialty?
- Mark Metwally is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Metwally located?
- Mark Metwally's practice location on file with NPPES is 848 Route 50, Burnt Hills, NY 12027.
- What is Mark Metwally's phone number?
- The practice phone number listed in the NPPES registry for Mark Metwally is (518) 831-1500.
- Does Mark Metwally accept Medicare?
- Mark Metwally is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Metwally's NPI active?
- Yes — Mark Metwally's NPI (1316122823) is active in the NPPES registry as of the last update on 2025-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.