Active NPI 1154328110 Individual Practitioner Male Practitioner

Dr. Mark C. Pyles , MD

Surgery • Berwick, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Pyles, MD is a certified Surgery practicing in Berwick, PA. With approximately 45 years of clinical experience since graduating from Hahnemann University College Of Medicine in 1981, Dr. Pyles delivers high-quality medical care to the local community at 695 E. 16TH ST.

Dr. Pyles is affiliated with Phoenix Rehabilitation And Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, new 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

695 E. 16th St
Suite C

Berwick, PA 18603

Telephone 5707591833

Fax 5707590314

Medicare Profile & Education

Medical School

Hahnemann University College Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Berwick, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs Matches City Avg

City Avg: 45.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Berwick, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pyles (45 Years) 45 Yrs

Berwick Specialty Average (45.0 Years) 45.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	271	92	$175.50	$121.31
99213 Established patient office or other outpatient visit, typically 15 minutes	58	52	$130.00	$85.98
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	27	27	$1000.00	$172.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$180.00	$158.53
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$950.00	$97.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$170.00	$105.41

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	233	93	$169.83	$122.03
99213 Established patient office or other outpatient visit, typically 15 minutes	64	54	$130.00	$86.49
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$1000.00	$175.12
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$950.00	$98.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$180.00	$159.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$170.00	$107.22

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	203	99	$170.00	$124.47
99213 Established patient office or other outpatient visit, typically 15 minutes	93	75	$130.00	$88.24
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	23	$950.00	$118.35
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$1000.00	$179.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$180.00	$163.34
27447 Replacement of knee joint, both sides of knee	14	14	$3610.00	$201.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$170.00	$109.48
43450 Dilation of esophagus	12	11	$200.00	$38.48

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	200	96	$170.05	$128.61
99213 Established patient office or other outpatient visit, typically 15 minutes	78	73	$130.00	$90.30
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	28	28	$1000.00	$186.73
27447 Replacement of knee joint, both sides of knee	18	17	$3693.33	$212.59
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$950.00	$112.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$180.00	$166.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$170.00	$110.97

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	182	78	$170.00	$106.69
99213 Established patient office or other outpatient visit, typically 15 minutes	65	60	$130.77	$73.45
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	27	$950.00	$107.57
27447 Replacement of knee joint, both sides of knee	20	19	$3610.00	$219.17
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$1000.00	$188.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$180.00	$161.02
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$1000.00	$187.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$170.00	$105.57

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	198	99	$170.10	$105.55
99213 Established patient office or other outpatient visit, typically 15 minutes	117	88	$130.34	$72.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$180.00	$160.34
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	30	$950.00	$111.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$170.00	$105.26
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	26	26	$1000.00	$187.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	16	$350.00	$199.17
27447 Replacement of knee joint, both sides of knee	17	17	$3610.00	$217.49
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1280.00	$260.21
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$1000.00	$181.95
43450 Dilation of esophagus	11	11	$200.00	$40.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	117	$130.49	$68.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	77	$170.00	$101.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$180.00	$155.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$170.00	$102.02
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	37	37	$1000.00	$182.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	20	$350.00	$194.07
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	26	$950.00	$113.49
27447 Replacement of knee joint, both sides of knee	25	25	$3610.00	$210.72
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$1000.00	$183.88
45380 Biopsy of large bowel using an endoscope	16	16	$1100.00	$199.75

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	206	123	$170.00	$100.90
99213 Established patient office or other outpatient visit, typically 15 minutes	48	41	$130.00	$68.46
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	29	29	$1000.00	$178.70
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	25	$950.00	$107.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$180.00	$154.61
27447 Replacement of knee joint, both sides of knee	19	18	$3610.00	$210.29
45380 Biopsy of large bowel using an endoscope	17	17	$1100.00	$198.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	13	$350.00	$192.76
45378 Diagnostic exam of large bowel using a flexible endoscope	13	11	$1000.00	$182.68

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD028609E

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0010468370002 (PA)

Hospital & Practice Group Affiliations

Phoenix Rehabilitation And Health Services Inc

2000 Westinghouse Dr, Cranberry Twp, PA 160665238

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Roger Crake , MD

Surgery

NPI 1295733418

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 15, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 15, 2009

Registered at 695 E. 16TH ST, SUITE C, BERWICK, PA 18603 (Tel: 5707591833)

📍

Updated Business Mailing Address December 15, 2009

Registered at 695 E. 16TH ST, SUITE C, BERWICK, PA 18603 (Tel: 5707591833)

👤

Provider Name / Credentials Updated December 15, 2009

Recorded as MARK PYLES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2009

Surgery (License #MD028609E in PA)

🟢

Initial NPI Registration & Enumeration July 06, 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: 1154328110

Entity Type:

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

Enumeration Date: July 06, 2005

Last Update: December 15, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

695 E. 16th St, Suite C

Berwick, PA 18603

Phone: 5707591833

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.