Active NPI 1003806084 Individual Practitioner Male Practitioner

Dr. Mark Lee Dick , MD

Internal Medicine • Dover, NH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Mark Dick, MD is a certified Internal Medicine practicing in Dover, NH. With approximately 33 years of clinical experience since graduating from University Of Missouri, Kansas City, School Of Medicine in 1993, Dr. Dick delivers high-quality medical care to the local community at 10 MEMBERS WAY FL 5.

Dr. Dick is affiliated with Wentworth Douglass Physician Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10 Members Way Fl 5

Dover, NH 038205933

Telephone 6036096800

Associated Practice Facility / Clinic

🏢 Wentworth Douglass Physician Corporation Facility NPI 1336751825

Medicare Profile & Education

Medical School

University Of Missouri, Kansas City, School Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dover, NH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +5.5 yrs vs City Avg

City Avg: 27.5 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

26 Specialists

Practicing in Dover, NH (699 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

64.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dick (33 Years) 33 Yrs

Dover Specialty Average (27.5 Years) 27.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	749	484	$405.67	$127.45
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	492	389	$46.55	$16.15
99213 Established patient office or other outpatient visit, typically 15 minutes	140	114	$286.16	$90.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	116	116	$412.03	$128.93
90662 Influenza vaccine split virus, preservative free	71	71	$32.00	$31.36
G0008 Administration of influenza virus vaccine	71	71	$45.75	$32.27
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	64	56	$164.31	$53.30
99495 Transitional care management services for problem of at least moderate complexity	48	44	$651.25	$206.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	44	$181.17	$56.61
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	15	$131.92	$41.90
83036 Hemoglobin A1C level	21	20	$35.14	$9.52
91320 Sarscv2 vac 30mcg trs-suc im	19	19	$266.21	$139.62
90480 Admn sarscov2 vacc 1 dose	19	19	$76.16	$43.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	568	401	$383.36	$127.89
99213 Established patient office or other outpatient visit, typically 15 minutes	259	194	$270.26	$90.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	97	97	$391.39	$129.30
G0008 Administration of influenza virus vaccine	92	92	$44.71	$30.91
90662 Influenza vaccine split virus, preservative free	87	87	$32.00	$31.36
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	68	56	$167.43	$52.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	53	$168.83	$57.14
99495 Transitional care management services for problem of at least moderate complexity	37	34	$613.86	$205.23
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	27	18	$130.00	$41.81
83036 Hemoglobin A1C level	25	23	$34.16	$9.52
93000 Routine ekg using at least 12 leads including interpretation and report	23	21	$54.00	$14.53
91320 Sarscv2 vac 30mcg trs-suc im	21	21	$281.00	$128.48
90480 Admn sarscov2 vacc 1 dose	21	21	$75.00	$41.22
G0009 Administration of pneumococcal vaccine	17	17	$61.71	$30.91
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	16	16	$551.46	$282.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	424	304	$355.77	$129.76
99213 Established patient office or other outpatient visit, typically 15 minutes	363	233	$245.23	$92.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	103	82	$150.34	$57.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	100	$373.61	$132.72
G0008 Administration of influenza virus vaccine	99	99	$44.00	$30.16
90662 Influenza vaccine split virus, preservative free	95	95	$32.00	$31.37
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	76	61	$170.00	$54.00
99495 Transitional care management services for problem of at least moderate complexity	58	50	$592.28	$210.11
91312 Coronavirus vaccine 13	53	53	$0.01	$0.01
0124A Fee covid-19 vac 13 res	53	53	$75.00	$39.89
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	37	37	$75.00	$40.25
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	28	21	$130.00	$41.90
G0009 Administration of pneumococcal vaccine	20	20	$58.45	$30.38
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$54.00	$14.64
83036 Hemoglobin A1C level	16	15	$33.50	$9.57
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$249.00	$92.46
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$505.75	$278.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	388	261	$230.19	$93.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	375	248	$327.20	$132.75
G0008 Administration of influenza virus vaccine	109	108	$44.00	$17.48
90662 Influenza vaccine split virus, preservative free	104	103	$32.00	$32.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	91	91	$356.42	$135.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	73	$142.63	$56.58
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	73	60	$249.89	$54.32
99495 Transitional care management services for problem of at least moderate complexity	65	59	$484.65	$211.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$496.14	$171.97
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	28	15	$197.36	$42.34
99443 Telephone medical discussion with physician, 21-30 minutes	20	19	$306.05	$133.37
G0009 Administration of pneumococcal vaccine	18	18	$64.00	$17.47
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$217.22	$118.26
93000 Routine ekg using at least 12 leads including interpretation and report	18	17	$122.33	$15.26
83036 Hemoglobin A1C level	15	14	$40.47	$9.71
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$495.92	$171.94
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$203.62	$94.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	357	243	$218.28	$77.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	267	207	$311.43	$113.40
G0008 Administration of influenza virus vaccine	127	126	$44.00	$17.42
90662 Influenza vaccine split virus, preservative free	115	115	$32.00	$31.98
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	86	68	$269.30	$55.76
99442 Telephone medical discussion with physician, 11-20 minutes	75	70	$185.43	$78.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	75	75	$340.36	$121.09
G0009 Administration of pneumococcal vaccine	65	64	$68.25	$17.41
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	63	63	$224.86	$119.67
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	48	22	$205.63	$42.84
99495 Transitional care management services for problem of at least moderate complexity	45	42	$442.40	$193.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$311.63	$112.46
99443 Telephone medical discussion with physician, 21-30 minutes	24	24	$273.46	$108.75
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$132.21	$17.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$136.13	$47.63
83036 Hemoglobin A1C level	15	15	$45.53	$9.68
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$24.00	$19.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	495	321	$202.61	$76.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	420	273	$294.03	$112.42
G0008 Administration of influenza virus vaccine	93	90	$27.28	$17.08
90662 Influenza vaccine split virus, preservative free	87	84	$32.60	$31.95
85610 Blood test, clotting time	77	14	$19.18	$4.28
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	77	64	$258.43	$55.22
99495 Transitional care management services for problem of at least moderate complexity	58	49	$423.93	$169.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	50	$327.38	$120.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$293.54	$112.28
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	40	30	$197.20	$42.80
G0009 Administration of pneumococcal vaccine	27	27	$64.56	$17.08
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$125.22	$17.76
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$206.20	$79.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$125.40	$46.91
83036 Hemoglobin A1C level	18	15	$43.56	$10.57
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$213.69	$110.74
69210 Removal of impacted ear wax	12	11	$175.00	$49.36
90670 Pneumococcal vaccine for injection into muscle	11	11	$415.09	$205.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	502	304	$194.18	$74.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	391	241	$281.71	$109.93
G0008 Administration of influenza virus vaccine	87	87	$22.00	$21.12
90662 Influenza vaccine split virus, preservative free	67	67	$32.00	$31.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$279.80	$111.01
99495 Transitional care management services for problem of at least moderate complexity	53	46	$406.89	$168.42
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	44	39	$248.73	$55.21
G0009 Administration of pneumococcal vaccine	41	41	$62.54	$21.12
85610 Blood test, clotting time	38	12	$18.29	$4.75
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	31	20	$189.84	$43.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	29	$118.69	$43.03
83036 Hemoglobin A1C level	26	23	$41.38	$11.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$315.68	$119.67
90670 Pneumococcal vaccine for injection into muscle	25	25	$404.96	$197.59
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$199.50	$77.24
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$206.94	$105.59
90653 Vaccine for influenza for injection into muscle	14	14	$32.00	$31.36
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$121.43	$17.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	514	327	$186.00	$74.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	144	$269.00	$109.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$268.00	$110.55
G0008 Administration of influenza virus vaccine	50	50	$24.34	$21.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	40	$114.00	$43.86
90653 Vaccine for influenza for injection into muscle	40	40	$32.00	$31.36
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	33	30	$238.00	$55.11
99495 Transitional care management services for problem of at least moderate complexity	32	26	$392.00	$166.97
85610 Blood test, clotting time	26	14	$17.00	$5.28
83036 Hemoglobin A1C level	22	17	$39.00	$13.05
G0009 Administration of pneumococcal vaccine	21	21	$53.81	$26.29
93000 Routine ekg using at least 12 leads including interpretation and report	17	16	$116.00	$17.46
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$189.00	$76.59
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	16	15	$181.00	$42.55
69210 Removal of impacted ear wax	15	15	$172.53	$50.32
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$171.00	$96.87

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NH 17500

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Geriatric Medicine

NUCC Taxonomy Code: 207RG0300X

State License MO 106644

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3105753 (NH)

Hospital & Practice Group Affiliations

Wentworth Douglass Physician Corporation

10 Members Way, Dover, NH 038205933

Wentworth Douglass Physician Corporation

10 Members Way 5th Floor, Dover, NH 038205933

Phone: 6036096800

Wentworth Douglass Physician Corporation

789 Central Ave, Dover, NH 038202526

Secondary Practice Locations

10 Members Way, Suite 301

Dover, NH 038205933

Phone: 6037423666

Practice Associates & Co-Workers

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

30 Associated Practitioners

Kathleen Conway , APRN

Nurse Practitioner - Family

NPI 1043517485

Advanced Practice Registered Nurse

Nicholas Tolentino , APRN

Nurse Practitioner - Family

NPI 1073574513

Advanced Practice Registered Nurse

Dr. Alison Sollee , MD

Internal Medicine

NPI 1093897753

Doctor of Medicine (M.D.)

Courtney Coppola , APRN

Nurse Practitioner - Adult Health

NPI 1134787294

Advanced Practice Registered Nurse

Benjamin Arpin , PA

Physician Assistant

NPI 1144777293

Physician Assistant

Dr. Yulius Haryadi , MD

Internal Medicine

NPI 1164943635

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

18 Historical Events

✅

NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2018

Registered at 10 MEMBERS WAY FL 5, DOVER, NH 038205933 (Tel: 6036096800)

📍

Updated Business Mailing Address March 17, 2018

Registered at 789 CENTRAL AVE, DOVER, NH 038202526 (Tel: 6036096800)

👤

Provider Name / Credentials Updated March 17, 2018

Recorded as MARK DICK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Internal Medicine (License #106644 in MO)

✅

NPI Profile Active January 24, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 24, 2018

Registered at 10 MEMBERS WAY FL 5, DOVER, NH 038205933 (Tel: 6036096800)

📍

Updated Business Mailing Address January 24, 2018

Registered at 789 CENTRAL AVE, DOVER, NH 038202526 (Tel: 6036096800)

👤

Provider Name / Credentials Updated January 24, 2018

Recorded as MARK DICK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Internal Medicine (License #106644 in MO)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Internal Medicine (License #17500 in NH)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2017

Internal Medicine (License #17500 in NH)

✅

NPI Profile Active October 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 12, 2016

Registered at 10 MEMBERS WAY, SUITE 301, DOVER, NH 038205933 (Tel: 6037423666)

📍

Updated Business Mailing Address October 12, 2016

Registered at 789 CENTRAL AVE, DOVER, NH 038202526 (Tel: 6037423666)

👤

Provider Name / Credentials Updated October 12, 2016

Recorded as MARK DICK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2016

Internal Medicine (License #17500 in NH)

🟢

Initial NPI Registration & Enumeration October 21, 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: 1003806084

Entity Type:

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

Enumeration Date: October 21, 2005

Last Update: March 17, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

789 Central Ave

Dover, NH 038202526

Phone: 6036096800

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.