Active NPI 1801810866 Individual Practitioner Male Practitioner

Dr. Mark J Kanter , MD

Specialist • Hampton, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Kanter, MD is a certified Specialist practicing in Hampton, VA. With approximately 41 years of clinical experience since graduating from Eastern Virginia Medical School in 1985, Dr. Kanter delivers high-quality medical care to the local community at 4000 COLISEUM DR.

Dr. Kanter is affiliated with Tidewater Physicians Multispecialty Group, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4000 Coliseum Dr
Ste 110

Hampton, VA 236665906

Telephone 7578278486

Fax 7578278718

Associated Practice Facility / Clinic

🏢 Sentara Medical Group Facility NPI 1992710222

Medicare Profile & Education

Medical School

Eastern Virginia Medical School

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Hampton, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +6.0 yrs vs City Avg

City Avg: 35.0 Yrs

State Avg: 37.5 Yrs

Regional Practice Density

16 Specialists

Practicing in Hampton, VA (878 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kanter (41 Years) 41 Yrs

Hampton Specialty Average (35.0 Years) 35.0 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$391.00	$159.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	41	$251.00	$124.06
99213 Established patient office or other outpatient visit, typically 15 minutes	24	16	$169.00	$87.77
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	22	20	$699.00	$304.03
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	18	$700.00	$285.71
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	15	$620.00	$129.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$391.00	$163.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	26	$251.00	$127.29
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	18	$700.00	$298.20
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$169.00	$89.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$391.00	$168.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	31	$251.00	$129.76
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$169.00	$91.84
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	17	$700.00	$284.52
11102 Tangential biopsy of single skin lesion	12	12	$300.00	$83.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$251.00	$113.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$391.00	$169.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	36	$251.00	$131.94
99213 Established patient office or other outpatient visit, typically 15 minutes	30	23	$169.00	$93.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$251.00	$108.52
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	11	$700.00	$291.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$251.00	$106.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$251.00	$110.48
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$169.00	$73.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$391.00	$166.78
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$700.00	$297.80
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	13	13	$699.00	$240.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$250.12	$108.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	37	$251.00	$105.10
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$169.00	$74.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$391.00	$164.97
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	19	$700.00	$299.12
11102 Tangential biopsy of single skin lesion	17	15	$300.00	$84.83
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	15	$620.00	$129.19
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	17	17	$2002.00	$728.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$100.00	$45.21
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$173.00	$76.55
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	12	$579.00	$129.62
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	14	13	$699.00	$260.32
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	11	$666.00	$224.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	85	85	$173.00	$71.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$251.00	$103.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	32	$100.00	$42.18
99213 Established patient office or other outpatient visit, typically 15 minutes	38	34	$169.00	$68.77
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	31	28	$620.00	$152.35
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	26	26	$699.00	$251.66
11100 Biopsy of single growth of skin and/or tissue	22	21	$239.00	$78.73
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	18	$700.00	$284.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$391.00	$149.28
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$579.00	$141.80
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	14	13	$614.00	$196.04
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	11	11	$939.00	$386.09
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	11	11	$2351.00	$979.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	74	74	$173.00	$73.76
99213 Established patient office or other outpatient visit, typically 15 minutes	40	35	$169.00	$69.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	31	$100.00	$42.93
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	16	16	$614.00	$206.92
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	16	$620.00	$176.11
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	15	$700.00	$290.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$251.00	$106.21
11100 Biopsy of single growth of skin and/or tissue	11	11	$239.00	$92.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$391.00	$149.86

Medical Specialties & State Licenses

CMS Verified: 2019-12-19

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA 0101041391

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.

Hospital & Practice Group Affiliations

Tidewater Physicians Multispecialty Group, Pc

704 Thimble Shoals Blvd, Newport News, VA 236064554

Phone: 7575954300

Practice Associates & Co-Workers

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

26 Associated Practitioners

Dr. Stephen Lapinel , MD

Internal Medicine

NPI 1073696944

Doctor of Medicine (M.D.)

Dr. John Lasater , MD

Urology

NPI 1083659007

Doctor of Medicine (M.D.)

Dr. Maria Guina-Byrne , MD

Psychiatry & Neurology - Neurology

NPI 1093879157

Doctor of Medicine (M.D.)

Kathleen Akridge , RNC, WHCNP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1164513024

Evie Burnet , PT

Physical Therapist

NPI 1205030186

Physical Therapist

Dr. Arthur Greene , MD

Orthopaedic Surgery

NPI 1205834157

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address December 19, 2019

Registered at 860 OMNI BLVD, STE 101, NEWPORT NEWS, VA 236064430 (Tel: 7572328769)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 4000 COLISEUM DR, STE 110, HAMPTON, VA 236665906 (Tel: 7578278486)

📍

Updated Business Mailing Address July 08, 2007

Registered at 4000 COLISEUM DR, STE 110, HAMPTON, VA 236665906 (Tel: 7578278486)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MARK KANTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #0101041391 in VA)

🟢

Initial NPI Registration & Enumeration July 26, 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: 1801810866

Entity Type:

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

Enumeration Date: July 26, 2006

Last Update: December 19, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

860 Omni Blvd, Ste 101

Newport News, VA 236064430

Phone: 7572328769

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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