Deactivated NPI 1952395709 Deactivated / Inactive NPI Male Practitioner

Dr. Mark S. Pack , MD

Surgery • Florence, SC

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Pack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 08, 2005

NPI Deactivation Date March 25, 2006

Total Practice Duration ~16 Years of Practice (1990 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Pack, MD was a registered Surgery in Florence, SC. Prior to record deactivation on 2006-03-25, Dr. Pack completed approximately 16 years of clinical practice following graduation from Wright State University Boonshoft School Of Medicine in 1990.

Dr. Pack maintained professional affiliations with Mcleod Physician Associates Ii, Musc Community Physicians and accepted Medicare assignment.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

805 Pamplico Hwy Ste A230

Florence, SC 295056057

Telephone 8436691220

Fax 8436693725

Associated Practice Facility / Clinic

🏢 Carolinas Medical Alliance Inc Facility NPI 1457301848

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Florence, SC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +13.7 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 28.3 Yrs

Regional Practice Density

17 Specialists

Practicing in Florence, SC (681 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pack (36 Years) 36 Yrs

Florence Specialty Average (22.3 Years) 22.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	254	104	$237.06	$70.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	143	133	$535.78	$160.69
99213 Established patient office or other outpatient visit, typically 15 minutes	125	78	$184.09	$84.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	49	$269.48	$118.39
11042 Removal of skin and tissue, 20.0 sq cm or less	64	19	$719.03	$103.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$372.23	$153.95
11042 Removal of skin and tissue, 20.0 sq cm or less	40	20	$707.88	$53.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	26	$365.09	$109.02
99213 Established patient office or other outpatient visit, typically 15 minutes	33	13	$179.00	$59.72
43246 Insertion of stomach tube using a flexible endoscope	22	22	$2358.45	$146.56
47562 Removal of gallbladder using an endoscope	16	16	$7074.50	$598.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$232.00	$104.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	228	60	$707.00	$55.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	200	95	$230.27	$71.77
99213 Established patient office or other outpatient visit, typically 15 minutes	194	59	$179.00	$60.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	53	$259.00	$89.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	128	118	$520.47	$161.85
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	97	12	$711.00	$23.59
99213 Established patient office or other outpatient visit, typically 15 minutes	70	52	$179.00	$84.01
17250 Application of chemical to stop tissue regrowth in wound	62	23	$197.00	$30.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$362.00	$156.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	36	$259.00	$120.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$362.00	$126.23
97597 Removal of tissue from wound, 20.0 sq cm or less	22	19	$251.00	$33.90
43246 Insertion of stomach tube using a flexible endoscope	15	15	$2266.00	$149.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$222.00	$105.23
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$134.00	$17.01
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$7407.00	$310.02
31610 Creation of permanent opening of windpipe for breathing	11	11	$3747.00	$901.75
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$7740.36	$647.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	223	99	$230.00	$67.37
99213 Established patient office or other outpatient visit, typically 15 minutes	173	46	$169.38	$63.30
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	159	12	$711.00	$52.32
11042 Removal of skin and tissue, 20.0 sq cm or less	143	48	$707.00	$55.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	131	124	$520.00	$188.16
99213 Established patient office or other outpatient visit, typically 15 minutes	129	87	$167.84	$84.77
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	109	18	$711.00	$23.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$207.33	$104.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	23	$254.38	$89.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	29	$159.00	$36.91
17250 Application of chemical to stop tissue regrowth in wound	36	18	$188.50	$34.56
43246 Insertion of stomach tube using a flexible endoscope	31	30	$2266.00	$149.70
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	18	$7407.00	$300.20
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$134.00	$17.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$251.94	$121.21
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	16	14	$1200.00	$140.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$357.60	$122.87
31610 Creation of permanent opening of windpipe for breathing	15	15	$3747.00	$912.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$362.00	$157.66
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$7340.00	$653.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$202.00	$80.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	298	122	$226.28	$68.55
99213 Established patient office or other outpatient visit, typically 15 minutes	211	155	$155.50	$85.36
99213 Established patient office or other outpatient visit, typically 15 minutes	172	29	$159.74	$62.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$181.60	$106.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	129	123	$513.77	$191.89
11042 Removal of skin and tissue, 20.0 sq cm or less	117	29	$707.00	$56.50
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	116	11	$697.47	$53.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	21	$159.00	$36.87
43246 Insertion of stomach tube using a flexible endoscope	34	32	$2062.59	$155.45
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$773.00	$89.14
45378 Diagnostic exam of large bowel using a flexible endoscope	24	24	$1005.00	$178.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$98.60	$53.37
31600 Opening of windpipe through neck for insertion of breathing tube	19	18	$1966.00	$293.97
45380 Biopsy of large bowel using an endoscope	17	17	$1022.06	$140.92
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	17	14	$1128.47	$126.99
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	14	$7407.00	$320.69
47562 Removal of gallbladder using an endoscope	14	14	$6881.00	$632.75
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	12	$134.00	$18.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$192.67	$80.58
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1275.33	$244.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	486	178	$220.60	$69.98
99213 Established patient office or other outpatient visit, typically 15 minutes	249	168	$150.37	$70.50
99213 Established patient office or other outpatient visit, typically 15 minutes	215	53	$151.75	$47.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	208	193	$496.60	$196.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	148	148	$176.08	$100.78
11042 Removal of skin and tissue, 20.0 sq cm or less	132	46	$692.58	$56.24
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	72	18	$675.58	$25.52
43246 Insertion of stomach tube using a flexible endoscope	44	44	$2022.25	$162.08
47562 Removal of gallbladder using an endoscope	32	32	$6733.60	$616.12
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$763.39	$93.88
45380 Biopsy of large bowel using an endoscope	22	22	$1052.59	$134.43
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$969.22	$180.97
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$1195.44	$249.06
31600 Opening of windpipe through neck for insertion of breathing tube	18	18	$1947.00	$297.74
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	12	$7323.92	$305.95
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$689.23	$180.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$182.50	$73.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	246	93	$144.28	$37.63
99213 Established patient office or other outpatient visit, typically 15 minutes	216	141	$157.04	$69.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	103	100	$506.16	$195.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$196.49	$100.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	101	54	$214.07	$70.40
99213 Established patient office or other outpatient visit, typically 15 minutes	91	27	$150.29	$49.42
11042 Removal of skin and tissue, 20.0 sq cm or less	80	25	$671.26	$56.81
43246 Insertion of stomach tube using a flexible endoscope	37	35	$2043.73	$169.70
47562 Removal of gallbladder using an endoscope	28	28	$5616.75	$625.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$202.24	$73.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$401.20	$132.10
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$296.50	$97.51
31600 Opening of windpipe through neck for insertion of breathing tube	16	16	$1871.94	$296.47
49505 Repair of groin hernia (5 years or older)	15	15	$2236.67	$444.99
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$150.36	$72.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	298	125	$105.40	$37.14
99213 Established patient office or other outpatient visit, typically 15 minutes	247	142	$190.00	$65.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	151	147	$536.98	$191.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$280.00	$98.79
43246 Insertion of stomach tube using a flexible endoscope	51	51	$1374.00	$148.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$352.11	$130.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$276.00	$72.62
31600 Opening of windpipe through neck for insertion of breathing tube	27	27	$1316.00	$298.28
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$973.00	$304.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	15	$171.00	$69.61
47562 Removal of gallbladder using an endoscope	20	20	$3370.00	$597.03
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$1132.33	$172.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	218	145	$191.27	$66.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	195	95	$105.90	$37.37
11042 Removal of skin and tissue, 20.0 sq cm or less	169	37	$412.00	$57.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	153	147	$534.92	$192.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$280.00	$96.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	48	$179.26	$69.14
99213 Established patient office or other outpatient visit, typically 15 minutes	54	25	$184.43	$47.86
43246 Insertion of stomach tube using a flexible endoscope	45	45	$1374.00	$149.59
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	45	15	$73.00	$25.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$352.42	$127.87
47562 Removal of gallbladder using an endoscope	21	21	$3370.00	$621.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$276.00	$72.84
31600 Opening of windpipe through neck for insertion of breathing tube	18	18	$1316.00	$378.12
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$973.00	$283.17
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$1163.00	$169.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$821.64	$104.87

Medical Specialties & State Licenses

CMS Verified: 2021-03-05

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License SC 35481

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License KY 28407

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 35074195P

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

354814 (SC)

Hospital & Practice Group Affiliations

Musc Community Physicians

506 N St, Bamberg, SC 290031319

Phone: 8032456290

Musc Community Physicians

805 Pamplico Hwy, Florence, SC 295056047

Mcleod Physician Associates Ii

800 E Cheves St, Florence, SC 295062650

Mcleod Physician Associates Ii

711 Chesterfield Hwy, Cheraw, SC 295207002

Phone: 8435377881

Musc Community Physicians

3000 Saint Matthews Rd, Orangeburg, SC 291181442

Phone: 8033953400

Secondary Practice Locations

1042 Rock Creek Rd

Florence, SC 295056502

Phone: 8436154540

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Frank Lee Jr , MD

Specialist

NPI 1043260151

Doctor of Medicine (M.D.)

Dr. James Harris , MD

Surgery

NPI 1447218128

Doctor of Medicine (M.D.)

Dr. Cecil Floyd , MD

Surgery

NPI 1821056508

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2021

Surgery (License #28407 in KY)

📍

Updated Business Mailing Address January 27, 2021

Registered at PO BOX 603898, CHARLOTTE, NC 282603898 (Tel: 8437926200)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2021

Surgery (License #35481 in SC)

📍

Updated Practice Location August 06, 2018

Registered at 805 PAMPLICO HWY STE A230, FLORENCE, SC 295056057 (Tel: 8436691220)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2018

Surgery (License #28407 in KY)

📍

Updated Practice Location February 24, 2017

Registered at 1042 ROCK CREEK RD, FLORENCE, SC 295056502 (Tel: 8436154540)

📍

Updated Business Mailing Address February 24, 2017

Registered at 1042 ROCK CREEK RD, FLORENCE, SC 295056502 (Tel: 8436154540)

👤

Provider Name / Credentials Updated February 24, 2017

Recorded as MARK PACK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2017

Surgery (License #28407 in KY)

📍

Updated Practice Location December 20, 2016

Registered at 1042 ROCK CREEK RD, FLORENCE, SC 295056502 (Tel: 8436154540)

📍

Updated Business Mailing Address December 20, 2016

Registered at 1042 ROCK CREEK RD, FLORENCE, SC 295056502 (Tel: 8436154540)

👤

Provider Name / Credentials Updated December 20, 2016

Recorded as MARK PACK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2016

Surgery (License #35481 in SC)

🔄

NPI Profile Reactivated March 31, 2006

Record officially reactivated for active practice on March 31, 2006

⚠️

NPI Profile Deactivated March 25, 2006

Record deactivated on March 25, 2006

🟢

Initial NPI Registration & Enumeration September 08, 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: 1952395709

Entity Type:

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

Enumeration Date: September 08, 2005

Last Update: March 05, 2021

Deactivation Date: March 25, 2006

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 603898

Charlotte, NC 282603898

Phone: 8437926200

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.