Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962980771 Individual Practitioner Male Practitioner

Dr. Mark R Poeppe , PsyD

Psychologist • Clive, IA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Poeppe, PsyD is a registered healthcare professional specializing in Psychologist in Clive, IA. Practice services are available at 12951 UNIVERSITY AVE STE 204 under active NPI credentials.

Frequently performed procedures and clinical services include administration of psychological or neuropsychological test, evaluation of psychological test, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12951 University Ave Ste 204

Clive, IA 503258293

Telephone 5155753180
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Clive, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Clive, IA (272 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.8% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
96137 Administration of psychological or neuropsychological test, each additional 30 minutes
48 16 $100.00 $32.68
96131 Evaluation of psychological test, each additional hour
29 16 $200.00 $86.72
90791 Psychiatric diagnostic evaluation
17 17 $196.47 $131.88
96130 Evaluation of psychological test, first hour
16 16 $273.44 $113.46
96136 Administration of psychological or neuropsychological test, first 30 minutes
16 16 $100.00 $36.88

Medical Specialties & State Licenses

CMS Verified: 2020-10-14
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License IA 091847

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 12, 2020

Registered at 12951 UNIVERSITY AVE STE 204, CLIVE, IA 503258293 (Tel: 5155753180)

📍
Updated Business Mailing Address October 12, 2020

Registered at 12951 UNIVERSITY AVE STE 204, CLIVE, IA 503258293 (Tel: 5155753180)

NPI Profile Active August 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2018

Registered at 8553 URBANDALE AVE, URBANDALE, IA 503224108 (Tel: 5152744006)

📍
Updated Business Mailing Address August 02, 2018

Registered at 8553 URBANDALE AVE, URBANDALE, IA 503224108 (Tel: 5152744006)

👤
Provider Name / Credentials Updated August 02, 2018

Recorded as MARK POEPPE, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2018

Psychologist (License #091847 in IA)

🟢
Initial NPI Registration & Enumeration August 02, 2018

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: 1962980771
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2018
Last Update: October 14, 2020
Sole Proprietor: No

Mailing Address

12951 University Ave Ste 204

Clive, IA 503258293

Phone: 5155753180

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.