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Active NPI 1588692602 Individual Practitioner Male Practitioner

Mark David Roman , PA-C

Physician Assistant • Dallas, GA

Professional Overview & Biography Verified Profile Summary

Mark Roman, PA-C is a registered healthcare professional specializing in Physician Assistant in Dallas, GA. Practice services are available at 225 MARY WALLACE WAY under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

225 Mary Wallace Way

Dallas, GA 301575054

Telephone 7706083302
Associated Practice Facility / Clinic
🏢 Plains Hospital Corporation Facility NPI 1518074061

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dallas, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
7 Specialists

Practicing in Dallas, GA (4726 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
47 47 $227.87 $92.16
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
28 28 $58.00 $40.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $346.25 $139.05
81002 Urinalysis, manual test
11 11 $10.00 $3.41

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9101641

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
291095100 (FL)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address August 13, 2018

Registered at 10 KRUGER RD, PLAINS, MT 598599271 (Tel: 4068264800)

NPI Profile Active August 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2015

Registered at 225 MARY WALLACE WAY, DALLAS, GA 301575054 (Tel: 7706083302)

📍
Updated Business Mailing Address August 11, 2015

Registered at 225 MARY WALLACE WAY, DALLAS, GA 301575054 (Tel: 7706083302)

👤
Provider Name / Credentials Updated August 11, 2015

Recorded as MARK ROMAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2015

Physician Assistant (License #PA9101641 in FL)

🟢
Initial NPI Registration & Enumeration June 29, 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: 1588692602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2006
Last Update: August 13, 2018
Sole Proprietor: Yes

Mailing Address

10 Kruger Rd

Plains, MT 598599271

Phone: 4068264800

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.