MARK ALFONSO (M.D.) – Diagnostic Radiology Physician, NPI 1548264872

MARK ALFONSO (M.D.) is a healthcare provider. based in Columbus, Ohio. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 35070426 (OH). The NPI Number for MARK ALFONSO (M.D.) is 1548264872

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
MARK ALFONSO (M.D.)
NPI
1548264872
Phone
(614) 396-4750
Address
100 E CAMPUS VIEW BLVD
Enumeration Date
31 May 2005
Last Update Date
14 May 2008

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6145448000
Graduation Year
1990 (36 years ago)
PAC ID
8022906213
Group Practice PAC ID
8729976964
Professional Enrollment ID
I20040719000011
Address ID
OH430168518DU7500XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

1,804 DIAGNOSTIC RADIOLOGY in OH

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Provider Addresses for MARK ALFONSO (M.D.)

  • East Campus View Boulevard, Crosswoods, Columbus, Sharon, Franklin County, Ohio, 43235, United States

    SUITE 160

    COLUMBUS, OH 432354647

    Phone: (614) 396-4750

    Fax: (614) 396-4742

    Type: Mailing

  • Olentangy River Rd, Knolls-Thomas, Columbus, Sharon, Franklin County, Ohio, 43214:43220, United States

    STE 5360

    COLUMBUS, OH 432143937

    Phone: (614) 340-7747

    Fax: (614) 340-7742

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-05-02 • Largest payer in this snapshot: Boston Scientific Corporation ($38).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040719000011IDiagnostic RadiologyOHTBD
I20220406001186IDiagnostic RadiologyWVTBD
I20240221004147IDiagnostic RadiologyNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view848773$0
74177Ct scan of abdomen and pelvis with contrast316313$0
74018X-ray of abdomen, 1 view312292$0
77067Screening mammography268268$0
77063Screening 3d breast mammography260260$0
View full utilization report →

Insurance plans in this area (ZIP 43235)

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Provider's Procedures

MARK ALFONSO (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOH71010X-ray of chest, 1 view, front11971101
DIAGNOSTIC RADIOLOGYOH71250CT scan chest101100
DIAGNOSTIC RADIOLOGYOH73562X-ray of knee, 3 views4336
DIAGNOSTIC RADIOLOGYOH74177CT scan of abdomen and pelvis with contrast347340
DIAGNOSTIC RADIOLOGYOH76830Ultrasound pelvis through vagina1212
DIAGNOSTIC RADIOLOGYOH77012Radiological supervision and interpretation of CT guidance for needle insertion4040

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729976964View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyWI
Diagnostic RadiologyOH
-OH
Diagnostic RadiologyOH
Diagnostic RadiologyMN
Diagnostic RadiologyFL

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Frequently asked questions

How do I look up MARK ALFONSO (M.D.) by NPI?
Use NPI 1548264872 when you need to reference MARK ALFONSO (M.D.) in forms, claims, or directories.
Is MARK ALFONSO (M.D.) active in the national directory?
MARK ALFONSO (M.D.)'s public NPI profile is in an active state.
What kind of provider is MARK ALFONSO (M.D.)?
The page reflects Diagnostic Radiology Physician for MARK ALFONSO (M.D.). Clinical services aligned with this taxonomy classification.
Where is MARK ALFONSO (M.D.)'s primary listing?
We display Columbus, Ohio because that is what the record indicates for MARK ALFONSO (M.D.).
How can I contact MARK ALFONSO (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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