Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083673016 Individual Practitioner Male Practitioner

Dr. Mark A. Antonacci , MD

Emergency Medicine • Fort Sam Houston, TX

Professional Overview & Biography Verified Profile Summary

Dr. Mark Antonacci, MD is a certified Emergency Medicine practicing in Fort Sam Houston, TX. With approximately 29 years of clinical experience since graduating from Uniformed Services Uhs Fe Hebert School Of Med in 1997, Dr. Antonacci delivers high-quality medical care to the local community at 3551 ROGER BROOKE DR.

Dr. Antonacci is affiliated with Legacy Urgent Care Pa and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3551 Roger Brooke Dr

Fort Sam Houston, TX 782344504

Telephone 8506870316
Associated Practice Facility / Clinic
🏢 Amc Bamc-Fsh Facility NPI 1649683400

Medicare Profile & Education

Medical School

Uniformed Services Uhs Fe Hebert School Of Med

Graduation Year

1997

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Fort Sam Houston, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs +14.5 yrs vs City Avg
City Avg: 14.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
84 Specialists

Practicing in Fort Sam Houston, TX (5048 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Antonacci (29 Years) 29 Yrs
Fort Sam Houston Specialty Average (14.5 Years) 14.5 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
13 12 $249.00 $112.39

Medical Specialties & State Licenses

CMS Verified: 2024-12-05
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License TX P4138

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License FL ME82194

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
261491000 (FL)
Commercial Insurance / Payer ID Bcbs
01791 (FL)
Commercial Insurance / Payer ID Bcbs
059191709 (AL)
Commercial Insurance / Payer ID Bcbs
059191697 (AL)

Hospital & Practice Group Affiliations

Legacy Urgent Care Pa

9205 Legacy Dr, Frisco, TX 750336750

Phone: 9726256020

Practice Associates & Co-Workers

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

40 Associated Practitioners
Janet Sims , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003147604

Certified Registered Nurse Anesthetist

Dr. Daniel Hammond , MD

Pediatrics - Pediatric Endocrinology

NPI 1003203159

Doctor of Medicine (M.D.)

Jessica Fuller , LCSW

Social Worker - Clinical

NPI 1003209289

Licensed Clinical Social Worker

Dr. Jason Hall , MD

Neurological Surgery

NPI 1003223983

Doctor of Medicine (M.D.)

Kathryn Helland , LCSW

Social Worker - Clinical

NPI 1003263575

Licensed Clinical Social Worker

Dr. Kole Spaulding , MD

Emergency Medicine - Emergency Medical Services

NPI 1003340381

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 11, 2019

Registered at 3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 782344504 (Tel: 8506870316)

📍
Updated Business Mailing Address December 11, 2019

Registered at 318 TRANQUIL OAK, SAN ANTONIO, TX 782603504 (Tel: 8506870316)

NPI Profile Active September 17, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2010

Registered at 307 BOATNER RD, EGLIN AFB, FL 325421391 (Tel: 8508838227)

📍
Updated Business Mailing Address September 17, 2010

Registered at 307 BOATNER RD, SUITE 114, EGLIN AFB, FL 325421391 (Tel: 8508838227)

👤
Provider Name / Credentials Updated September 17, 2010

Recorded as MARK ANTONACCI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2010

Emergency Medicine (License #ME82194 in FL)

🟢
Initial NPI Registration & Enumeration March 20, 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: 1083673016
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2006
Last Update: December 05, 2024
Sole Proprietor: No

Mailing Address

318 Tranquil Oak

San Antonio, TX 782603504

Phone: 8506870316

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.