Mark Kanter, MD
NPI 1801810866 · Specialist · Hampton, VA
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Kanter, MD is a Specialist provider in Hampton, VA (NPI 1801810866).
Provider details
- NPI number
- 1801810866
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0101041391 (VA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
208 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 77 | $159 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 50 | $124 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 24 | $88 |
| Intermediate Repair of Wound of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6-5.0 Cm12052 | 22 | $304 |
| Intermediate Repair of Wound of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 Cm12032 | 19 | $286 |
| Removal of Cancer Skin Growth of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 1.1-2.0 Cm |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 48 | 41 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-26
- Last updated
- 2019-12-19
- Certified
- 2019-12-19
Frequently asked questions
- What is Mark Kanter's NPI number?
- Mark Kanter's National Provider Identifier (NPI) is 1801810866, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Kanter's specialty?
- Mark Kanter is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Mark Kanter located?
- Mark Kanter's practice location on file with NPPES is 4000 Coliseum Dr, Hampton, VA 23666-5906.
- What is Mark Kanter's phone number?
- The practice phone number listed in the NPPES registry for Mark Kanter is (757) 827-8486.
- Does Mark Kanter accept Medicare?
- Mark Kanter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Kanter's NPI active?
- Yes — Mark Kanter's NPI (1801810866) is active in the NPPES registry as of the last update on 2019-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.