Mark Roncone, FNP
NPI 1669982872 · Family Nurse Practitioner · Hagerstown, MD
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Roncone, FNP is a Family Nurse Practitioner provider in Hagerstown, MD (NPI 1669982872).
Provider details
- NPI number
- 1669982872
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- R209146 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 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
393 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 244 | $105 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 88 | $77 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 33 | $138 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 17 | $9 |
| Administration of Vaccine90471 | 11 | $17 |
Typical Medicare-allowed amounts for these services range $9–$138 (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 · 88 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 119 | 18 |
| Pravastatin Sodium | 72 | 19 |
| Pantoprazole Sodium | 65 | 12 |
| Omeprazole | 64 | 13 |
| Famotidine | 62 | 23 |
| Tizanidine Hcl | 56 | 17 |
| Ezetimibe | 56 | 14 |
| Gabapentin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$662 across 37 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
- 2017-10-03
- Last updated
- 2023-05-31
- Certified
- 2023-05-31
Frequently asked questions
- What is Mark Roncone's NPI number?
- Mark Roncone's National Provider Identifier (NPI) is 1669982872, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Roncone's specialty?
- Mark Roncone is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mark Roncone located?
- Mark Roncone's practice location on file with NPPES is 1101 Opal Ct Ste 217, Hagerstown, MD 21740-5941.
- What is Mark Roncone's phone number?
- The practice phone number listed in the NPPES registry for Mark Roncone is (402) 038-8642.
- Does Mark Roncone accept Medicare?
- Mark Roncone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Roncone's NPI active?
- Yes — Mark Roncone's NPI (1669982872) is active in the NPPES registry as of the last update on 2023-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.