Active NPI 1750306825 Individual Practitioner Male Practitioner

Dr. Mark B. Gloudeman , MD

Surgery • Culpeper, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Gloudeman, MD is a certified Surgery practicing in Culpeper, VA. With approximately 42 years of clinical experience since graduating from Northwestern University Feinberg Medical School in 1984, Dr. Gloudeman delivers high-quality medical care to the local community at 541 SUNSET LN.

Dr. Gloudeman is affiliated with Uva Community Health Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of polyps or growths of large bowel using an endoscope with mechanical snare, removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery, colorectal cancer screening; colonoscopy on individual at high risk. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

541 Sunset Ln
Suite 103

Culpeper, VA 227013979

Telephone 5408254440

Fax 5408254026

Associated Practice Facility / Clinic

🏢 Blue Ridge Gynecology & Wellness,inc Facility NPI 1003821596

Medicare Profile & Education

Medical School

Northwestern University Feinberg Medical School

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Culpeper, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +17.3 yrs vs City Avg

City Avg: 24.7 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

8 Specialists

Practicing in Culpeper, VA (909 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gloudeman (42 Years) 42 Yrs

Culpeper Specialty Average (24.7 Years) 24.7 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
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	85	85	$1288.00	$239.63
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	61	61	$1128.00	$134.98
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	50	50	$957.32	$173.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	34	$233.00	$91.31
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	38	$849.00	$89.92
99213 Established patient office or other outpatient visit, typically 15 minutes	38	35	$158.00	$61.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$311.00	$125.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$234.00	$78.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	21	$312.00	$134.36
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$962.00	$174.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$358.00	$127.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	17	$83.00	$47.40
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$962.00	$174.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$165.00	$75.50
45380 Biopsy of large bowel using an endoscope	11	11	$1143.00	$93.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	81	81	$1132.05	$142.62
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	77	77	$1290.88	$249.03
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	61	61	$852.79	$94.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	49	$387.29	$140.04
99213 Established patient office or other outpatient visit, typically 15 minutes	42	34	$192.14	$65.42
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	41	41	$1001.71	$181.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	38	$287.25	$93.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$410.94	$129.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	18	$101.00	$49.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$262.60	$81.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$349.00	$129.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	17	$183.10	$78.56
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	20	13	$80.80	$30.92
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$961.39	$181.41
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$961.29	$178.89
45380 Biopsy of large bowel using an endoscope	16	16	$1378.63	$117.62
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$530.00	$151.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	85	84	$1294.00	$256.72
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	72	71	$1136.00	$132.19
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	67	65	$856.00	$92.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$454.32	$131.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	41	$299.56	$97.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	18	$109.84	$38.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	36	$403.30	$140.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$295.72	$84.11
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$205.50	$66.28
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	30	30	$1036.00	$186.03
45378 Diagnostic exam of large bowel using a flexible endoscope	24	24	$961.00	$181.93
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$961.00	$186.61
45380 Biopsy of large bowel using an endoscope	21	21	$1520.00	$130.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$577.41	$184.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$383.12	$135.26
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$2310.00	$711.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	89	89	$1136.00	$139.83
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	81	81	$1294.00	$255.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	31	$107.69	$38.34
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	55	54	$856.00	$104.12
99213 Established patient office or other outpatient visit, typically 15 minutes	52	41	$196.25	$67.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	48	$283.76	$97.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$289.90	$83.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$433.94	$137.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	43	$379.65	$147.59
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	33	33	$1036.00	$187.79
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$202.29	$49.70
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$961.00	$184.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	19	$198.95	$71.77
45380 Biopsy of large bowel using an endoscope	20	20	$1520.00	$128.26
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$961.00	$187.48
45381 Injection beneath lining of large bowel using a flexible endoscope	11	11	$1122.00	$66.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	84	44	$104.04	$40.01
99213 Established patient office or other outpatient visit, typically 15 minutes	72	64	$186.89	$51.68
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	61	61	$1136.00	$142.82
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	54	54	$1294.00	$265.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$294.57	$76.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	46	$265.38	$79.65
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	42	41	$856.00	$106.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	24	$111.65	$26.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	25	$191.03	$73.65
99221 Initial hospital inpatient care per day, typically 30 minutes	27	26	$302.00	$100.03
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$213.76	$51.65
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$961.00	$193.04
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$961.00	$193.82
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$1036.00	$192.75
45380 Biopsy of large bowel using an endoscope	12	12	$1520.00	$111.99
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$725.00	$100.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	95	95	$1294.00	$262.02
99213 Established patient office or other outpatient visit, typically 15 minutes	94	77	$180.06	$50.23
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	80	80	$1136.00	$118.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	71	42	$100.24	$39.61
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	60	58	$856.00	$106.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	51	$260.59	$77.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$285.92	$75.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	35	$106.70	$25.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$423.39	$129.83
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$201.24	$49.92
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	33	33	$961.00	$192.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	30	$186.06	$73.18
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	28	28	$1036.00	$188.18
99283 Emergency department visit with low level of medical decision making	18	18	$158.22	$62.44
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$292.29	$101.94
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$725.00	$92.60
49505 Repair of groin hernia (5 years or older)	11	11	$1320.00	$533.63
45380 Biopsy of large bowel using an endoscope	11	11	$1452.55	$103.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	95	82	$173.34	$50.57
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	67	67	$1136.00	$146.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	52	$104.05	$25.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	51	$253.93	$76.66
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	54	54	$856.00	$105.27
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	50	50	$1294.00	$261.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	25	$99.52	$38.97
99202 New patient office or other outpatient visit, typically 20 minutes	45	45	$202.07	$49.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$283.59	$76.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	31	$183.26	$72.36
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	28	28	$961.00	$189.55
45378 Diagnostic exam of large bowel using a flexible endoscope	27	27	$961.00	$181.69
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	26	26	$1036.00	$189.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$418.80	$128.67
99221 Initial hospital inpatient care per day, typically 30 minutes	25	24	$288.52	$100.65
99283 Emergency department visit with low level of medical decision making	23	23	$156.00	$61.44
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$725.00	$90.23
99284 Emergency department visit with moderate level of medical decision making	14	14	$295.00	$116.59
45380 Biopsy of large bowel using an endoscope	13	13	$1149.00	$133.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	92	80	$171.00	$50.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	43	$99.79	$38.80
99213 Established patient office or other outpatient visit, typically 15 minutes	65	55	$171.00	$71.56
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	64	64	$1136.00	$165.04
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	54	54	$845.33	$100.61
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	45	45	$1294.00	$245.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	39	$103.00	$25.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	31	$182.25	$71.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$270.40	$73.10
99221 Initial hospital inpatient care per day, typically 30 minutes	30	29	$288.00	$100.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$273.71	$106.67
45380 Biopsy of large bowel using an endoscope	24	24	$1149.00	$113.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$103.00	$42.94
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$961.00	$166.74
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$976.79	$182.68
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$961.00	$188.21
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$188.18	$49.96
99283 Emergency department visit with low level of medical decision making	16	16	$155.38	$61.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$408.07	$135.11
99284 Emergency department visit with moderate level of medical decision making	15	15	$294.47	$116.13
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$725.00	$103.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$250.00	$100.80
76937 Ultrasonic guidance for blood vessel access	11	11	$55.91	$14.34

Medical Specialties & State Licenses

CMS Verified: 2020-10-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101043825

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License VA 0101043825

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

010192471 (VA)

Hospital & Practice Group Affiliations

Uva Community Health Medical Group Llc

501 Sunset Ln, Culpeper, VA 227013917

Phone: 7033965293

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Sara Hennessy , MD

Surgery

NPI 1003020264

Doctor of Medicine (M.D.)

Dr. Natasha Annor , MD

Surgery

NPI 1003107970

Doctor of Medicine (M.D.)

Dr. John Blalock , MD

Surgery

NPI 1063685352

Doctor of Medicine (M.D.)

Elena Saykaly , PA

Physician Assistant - Surgical

NPI 1073817839

Physician Assistant

Charlotte Myers , NP

Nurse Practitioner - Adult Health

NPI 1326111394

Nurse Practitioner

Dr. Robert Golub , MD

Specialist

NPI 1437174513

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 20, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location December 20, 2012

Registered at 541 SUNSET LN, SUITE 103, CULPEPER, VA 227013979 (Tel: 5408252600)

📍

Updated Business Mailing Address December 20, 2012

Registered at PO BOX 9007, CHARLOTTESVILLE, VA 229069007

👤

Provider Name / Credentials Updated December 20, 2012

Recorded as MARK GLOUDEMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2012

Specialist (License #0101043825 in VA)

🟢

Initial NPI Registration & Enumeration July 12, 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: 1750306825

Entity Type:

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

Enumeration Date: July 12, 2006

Last Update: October 09, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9007

Charlottesville, VA 229069007

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.