Active NPI 1770014193 Individual Practitioner Male Practitioner

Dr. Sam Mark , DPM

Podiatrist • Alexandria, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sam Mark, DPM is a certified Podiatrist practicing in Alexandria, VA. With approximately 9 years of clinical experience since graduating from New York College Of Podiatric Medicine in 2017, Dr. Mark delivers high-quality medical care to the local community at 4660 KENMORE AVE STE 608.

Dr. Mark is affiliated with Loudoun Medical Group, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, removal of skin and tissue. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4660 Kenmore Ave Ste 608

Alexandria, VA 223041306

Telephone 7035784161

Associated Practice Facility / Clinic

🏢 Loudoun Medical Group, Pc Facility NPI 1669046546

Medicare Profile & Education

Medical School

New York College Of Podiatric Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Alexandria, VA

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -8.5 yrs vs City Avg

City Avg: 17.5 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

10 Specialists

Practicing in Alexandria, VA (187 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mark (9 Years) 9 Yrs

Alexandria Specialty Average (17.5 Years) 17.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	1,172	411	$165.00	$100.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	124	$225.00	$141.11
11042 Removal of skin and tissue, 20.0 sq cm or less	252	38	$292.55	$66.46
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	191	19	$86.00	$27.17
J1100 Injection, dexamethasone sodium phosphate, 1 mg	188	33	$1.00	$0.11
73630 X-ray of foot, minimum of 3 views	187	93	$145.00	$37.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$265.00	$124.37
11042 Removal of skin and tissue, 20.0 sq cm or less	104	36	$261.21	$146.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$225.00	$104.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$395.00	$144.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	13	$248.00	$127.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	882	271	$150.83	$94.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	88	$205.79	$124.38
11042 Removal of skin and tissue, 20.0 sq cm or less	156	36	$236.00	$58.53
73630 X-ray of foot, minimum of 3 views	154	71	$145.00	$38.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$265.00	$118.53
11042 Removal of skin and tissue, 20.0 sq cm or less	107	39	$236.00	$136.33
J1100 Injection, dexamethasone sodium phosphate, 1 mg	87	18	$11.86	$0.12
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	71	16	$200.70	$106.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	23	$248.00	$116.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	14	$205.91	$90.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$395.00	$135.46
99213 Established patient office or other outpatient visit, typically 15 minutes	16	12	$150.00	$66.97
73610 X-ray of ankle, minimum of 3 views	14	11	$160.00	$40.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	678	227	$150.00	$103.95
73630 X-ray of foot, minimum of 3 views	155	71	$145.00	$42.15
11042 Removal of skin and tissue, 20.0 sq cm or less	130	20	$236.00	$157.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$265.00	$128.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	56	$205.00	$143.14
J1100 Injection, dexamethasone sodium phosphate, 1 mg	104	15	$16.00	$0.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	20	$248.00	$113.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	36	$149.29	$100.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$265.00	$130.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$205.00	$150.25
73630 X-ray of foot, minimum of 3 views	17	14	$145.00	$40.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$395.00	$193.99

Medical Specialties & State Licenses

CMS Verified: 2023-10-02

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License VA 0103301337

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

30015750040001 (VA)

Medicaid State Provider ID

1770014193 (VA)

Hospital & Practice Group Affiliations

Loudoun Medical Group, Pc

6355 Walker Ln, Alexandria, VA 223103247

Phone: 7033137700

Loudoun Medical Group, Pc

4660 Kenmore Ave, Alexandria, VA 223041306

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Jeffrey Graziano , DPM

Podiatrist - Foot Surgery

NPI 1255328423

Doctor of Podiatric Medicine

Dr. Jeffrey Coster , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1801883202

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location August 12, 2021

Registered at 4660 KENMORE AVE STE 608, ALEXANDRIA, VA 223041306 (Tel: 7035784161)

📍

Updated Business Mailing Address August 12, 2021

Registered at 224D CORNWALL ST NW STE 403, LEESBURG, VA 201762704 (Tel: 7037376001)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2021

Podiatrist (License #0103301337 in VA)

✅

NPI Profile Active March 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 27, 2017

Registered at 545 1ST AVE, APT 4D, NEW YORK, NY 100166401 (Tel: 7185366083)

📍

Updated Business Mailing Address March 27, 2017

Registered at 545 1ST AVE, APT 4D, NEW YORK, NY 100166401 (Tel: 7185366083)

👤

Provider Name / Credentials Updated March 27, 2017

Recorded as SAM MARK, D.P.M.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2017

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 27, 2017

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: 1770014193

Entity Type:

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

Enumeration Date: March 27, 2017

Last Update: October 02, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

224d Cornwall St Nw Ste 403

Leesburg, VA 201762704

Phone: 7037376001

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.