Active NPI 1801969829 Individual Practitioner Male Practitioner

Dr. Mark Todd Roback , DO

General Practice • Fortuna, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Roback, DO is a certified General Practice practicing in Fortuna, CA. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Roback delivers high-quality medical care to the local community at 3304 RENNER DR.

Dr. Roback is affiliated with Shasta Regional Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3304 Renner Dr

Fortuna, CA 955407102

Telephone 7077254477

Fax 7077259209

Associated Practice Facility / Clinic

🏢 Jones And Bellah Mds Facility NPI 1255458626

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 General Practice in Fortuna, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs Matches City Avg

City Avg: 22.0 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

1 Specialists

Practicing in Fortuna, CA (2300 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roback (22 Years) 22 Yrs

Fortuna Specialty Average (22.0 Years) 22.0 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,184	449	$319.64	$115.01
99239 Hospital discharge day management, more than 30 minutes	410	387	$315.21	$112.72
99497 Advance care planning, first 30 minutes	283	247	$236.77	$73.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	238	230	$510.40	$168.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	211	59	$213.92	$77.32
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	36	31	$82.39	$24.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	17	$139.97	$48.35
99291 Critical care, first 30-74 minutes	26	24	$649.80	$205.89
99238 Hospital discharge day management, 30 minutes or less	24	24	$221.57	$80.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$374.40	$127.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	654	281	$259.00	$119.00
99239 Hospital discharge day management, more than 30 minutes	223	216	$269.00	$115.00
99497 Advance care planning, first 30 minutes	216	209	$215.00	$75.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	208	202	$509.00	$173.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	47	$180.00	$79.13
99291 Critical care, first 30-74 minutes	42	34	$705.00	$211.32
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	37	35	$83.00	$24.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	909	325	$259.00	$103.24
99239 Hospital discharge day management, more than 30 minutes	243	236	$269.00	$106.72
99497 Advance care planning, first 30 minutes	232	221	$215.00	$78.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	207	201	$509.00	$199.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	29	$180.00	$71.69
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	46	41	$83.00	$25.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$347.00	$136.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	914	337	$197.86	$105.06
99239 Hospital discharge day management, more than 30 minutes	259	248	$205.53	$108.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	169	166	$376.15	$203.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	29	$137.70	$73.08
99497 Advance care planning, first 30 minutes	37	32	$336.24	$79.99
99220 Hospital observation care, typically 70 minutes	14	14	$332.99	$184.81
99238 Hospital discharge day management, 30 minutes or less	14	14	$138.31	$73.76
99217 Hospital observation care on day of discharge	12	12	$132.22	$73.76
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	11	11	$392.42	$218.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	680	302	$213.57	$108.44
99239 Hospital discharge day management, more than 30 minutes	262	249	$227.62	$111.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	256	250	$427.66	$209.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	166	60	$155.63	$75.08
99497 Advance care planning, first 30 minutes	107	103	$437.99	$82.60
99497 Advance care planning, first 30 minutes	29	28	$462.59	$88.77
99220 Hospital observation care, typically 70 minutes	13	13	$376.77	$192.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$307.50	$141.75
99217 Hospital observation care on day of discharge	12	11	$140.00	$75.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	974	377	$214.00	$105.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	276	267	$417.00	$204.47
99497 Advance care planning, first 30 minutes	262	249	$130.00	$80.14
99239 Hospital discharge day management, more than 30 minutes	255	249	$221.00	$109.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	112	46	$148.00	$73.71
99217 Hospital observation care on day of discharge	29	29	$150.00	$74.48
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	28	26	$57.00	$26.06
99220 Hospital observation care, typically 70 minutes	21	21	$381.00	$188.37
99238 Hospital discharge day management, 30 minutes or less	15	15	$150.00	$74.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$282.00	$138.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	842	337	$219.67	$105.86
99239 Hospital discharge day management, more than 30 minutes	227	222	$225.71	$110.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	192	190	$417.00	$205.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	116	69	$162.32	$73.80
99238 Hospital discharge day management, 30 minutes or less	17	17	$161.76	$74.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	422	235	$240.68	$104.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	355	206	$172.95	$72.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	221	214	$444.48	$203.14
99239 Hospital discharge day management, more than 30 minutes	146	143	$242.47	$108.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	69	$288.13	$136.87
99238 Hospital discharge day management, 30 minutes or less	29	29	$187.59	$73.49
99497 Advance care planning, first 30 minutes	11	11	$130.00	$77.04

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA 20A10324

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License KY R1153

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100028230 (KY)

Commercial Insurance / Payer ID Temp License

R1153 (KY)

Commercial Insurance / Payer ID Npi

1801969829 (CA)

Hospital & Practice Group Affiliations

Shasta Regional Medical Group Inc

1355 E St, Redding, CA 960010801

Phone: 5306054260

Practice Associates & Co-Workers

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

13 Associated Practitioners

Lori Cutler , FNP

Nurse Practitioner - Family

NPI 1336393776

Family Nurse Practitioner

Susie Cha , LCSW

Social Worker - Clinical

NPI 1346907961

Licensed Clinical Social Worker

Joan Butler , MSN, FNP-C, PA-C

Nurse Practitioner

NPI 1407866080

Master of Science in Nursing, Family Nurse Practitioner (Certified), Physician Assistant (Certified)

Danielle Cole , NP-C

Nurse Practitioner - Family

NPI 1427520550

Nurse Practitioner (Certified)

Beth Lynagh , RN

Registered Nurse

NPI 1437853868

Registered Nurse

Irma Silva , RN

Registered Nurse

NPI 1497159859

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 25, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 25, 2014

Registered at 3304 RENNER DR, FORTUNA, CA 955407102 (Tel: 7077254477)

📍

Updated Business Mailing Address August 25, 2014

Registered at 670 9TH STREET, SUITE 203, ARCATA, CA 955216249 (Tel: 7078268633)

👤

Provider Name / Credentials Updated August 25, 2014

Recorded as MARK ROBACK, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2014

Family Medicine (License #R1153 in KY)

🟢

Initial NPI Registration & Enumeration November 16, 2006

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: 1801969829

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 16, 2006

Last Update: August 25, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

670 9th Street, Suite 203

Arcata, CA 955216249

Phone: 7078268633

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.