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Active NPI 1992708523 Individual Practitioner Male Practitioner

Mark A Thiele , PA-C

Physician Assistant • Prescott, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mark Thiele, PA-C is a certified Physician Assistant practicing in Prescott, AZ. With approximately 22 years of clinical experience since completing medical education in 2004, Mark Thiele delivers high-quality medical care to the local community at 1223 WILLOW CREEK RD.

Mark Thiele is affiliated with Granite Orthopaedics Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, hyaluronan or derivative, durolane, for intra-articular injection, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1223 Willow Creek Rd

Prescott, AZ 863011427

Telephone 9287779950
Fax 9287779975
Associated Practice Facility / Clinic
🏢 Granite Orthopaedics Pllc Facility NPI 1831408384

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Prescott, AZ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +5.7 yrs vs City Avg
City Avg: 16.3 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
52 Specialists

Practicing in Prescott, AZ (3711 Statewide)

Telehealth Adoption Rate
9.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thiele (22 Years) 22 Yrs
Prescott Specialty Average (16.3 Years) 16.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg
21,160 113 $0.26 $0.13
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg
1,500 14 $45.00 $6.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
581 245 $250.96 $105.21
20610 Aspiration and/or injection of fluid from large joint
187 90 $149.08 $61.50
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance
145 84 $219.38 $91.41
97750 Test or measurement for functional capacity, each 15 minutes
118 58 $66.88 $24.16
27447 Replacement of knee joint, both sides of knee
100 99 $274.45 $166.95
J1040 Injection, methylprednisolone acetate, 80 mg
97 66 $19.61 $9.68
99213 Established patient office or other outpatient visit, typically 15 minutes
85 58 $178.01 $74.62
73562 X-ray of knee, 3 views
79 52 $79.65 $33.35
73564 X-ray of knee, 4 or more views
74 45 $91.91 $38.14
73502 X-ray of hip, 2-3 views
56 41 $92.69 $38.84
27130 Replacement of thigh bone and hip joint with prosthesis
55 55 $279.09 $165.98
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
49 25 $1593.12 $675.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
39 39 $326.59 $137.08
73030 X-ray of shoulder, minimum of 2 views
36 20 $67.96 $28.48
73503 X-ray of hip with pelvis, minimum of 4 views
34 25 $116.62 $48.93
73560 X-ray of knee, 1-2 views
31 21 $66.82 $27.97

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 4659

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
291957500 (FL)
Medicaid State Provider ID
782816 (AZ)

Hospital & Practice Group Affiliations

Granite Orthopaedics Pllc

2960 N Centre Ct, Prescott Valley, AZ 863142295

Phone: 9287779950

Granite Orthopaedics Pllc

1223 Willow Creek Rd, Prescott, AZ 863011427

Phone: 9287779950

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Wilford Richardson , MD

Orthopaedic Surgery - Hand Surgery

NPI 1134389232

Doctor of Medicine (M.D.)

Dr. Richard Bassett , DO

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1245473537

Doctor of Osteopathic Medicine (D.O.)

Micah Caudle , OTR, L

Occupational Therapist

NPI 1366866295

Occupational Therapist Registered, L

Dr. Paul Pflueger , MD

Orthopaedic Surgery

NPI 1386647998

Doctor of Medicine (M.D.)

Dr. Michael Sorensen , MD

Physical Medicine & Rehabilitation

NPI 1396748331

Doctor of Medicine (M.D.)

Michael Dobson , PA

Physician Assistant - Surgical

NPI 1538498928

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active March 29, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address March 29, 2017

Registered at 1223 WILLOW CREEK RD, PRESCOTT, AZ 863011427 (Tel: 9287779950)

📍
Updated Practice Location March 29, 2017

Registered at 1223 WILLOW CREEK RD, PRESCOTT, AZ 863011427 (Tel: 9287779950)

👤
Provider Name / Credentials Updated March 29, 2017

Recorded as MARK THIELE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2017

Physician Assistant (License #4659 in AZ)

NPI Profile Active June 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2016

Registered at 1223 WILLOW CREEK RD, PRESCOTT, AZ 863011427 (Tel: 9287779950)

📍
Updated Business Mailing Address June 02, 2016

Registered at 7687 E BRAVO LN, PRESCOTT VALLEY, AZ 863141913 (Tel: 9287590963)

👤
Provider Name / Credentials Updated June 02, 2016

Recorded as MARK THIELE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2016

Physician Assistant (License #4659 in AZ)

🟢
Initial NPI Registration & Enumeration May 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992708523
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2005
Last Update: March 29, 2017
Sole Proprietor: No

Mailing Address

1223 Willow Creek Rd

Prescott, AZ 863011427

Phone: 9287779950

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.