MARK ROBERT CIOTA M.D.
NPI 1184603581
Orthopaedic Surgery in Albert Lea, MN
NPI Status: Active since January 13, 2006
Contact Information
404 W FOUNTAIN ST
ALBERT LEA, MN
ZIP 56007
Phone: (507) 373-2384
- Individual
- Male
- Orthopaedic Surgery
- Accepts Insurance
- PECOS Enrolled
About MARK CIOTA
This page provides the complete NPI Profile along with additional information for Mark Ciota, a provider established in Albert Lea, Minnesota with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1184603581 assigned on January 2006. The practitioner's primary taxonomy code is 207X00000X with license number 38139 (MN). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1184603581
- Provider Name
- MARK ROBERT CIOTA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 404 W FOUNTAIN ST ALBERT LEA, MN 56007
- Location Phone
- (507) 373-2384
- Mailing Address
- 72669 220TH ST ALBERT LEA, MN 56007
- Mailing Phone
- (507) 373-5750
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-13-2006
- Last Update Date
- 09-28-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 38139
- License State
- MN
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 588525600 | MEDICAID (05) | MN |
Medicare Participation & PECOS Enrollment Status
Mark Ciota is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 56007 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.82
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $21.45
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.74
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $17.43
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MARK ROBERT CIOTA M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 8 | 4 | 6 | 0 | 3 | 5 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 12 | 0 | 6 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 1 + 2 + 0 + 6 + 5 + 1 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1184603581 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871571851 | LISE HOLM AASHEIM M.D. Individual | Family Medicine | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1699754093 | RICHARD ALLEN BURINGA C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1063491496 | HATEM MOHAMMED ELHAGALY M.D. Individual | Pediatrics | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1861471187 | BEVERLY ALMS LOMBARDI M.D. Individual | Internal Medicine | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1023097342 | JEFFREY PAUL LOTTS M.D. Individual | Surgery | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1457330847 | DUARD DEWAYNE BIRKHOFER M.D. Individual | Family Medicine | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1124007521 | CLARENCE ROY CARLSON JR. D.O. Individual | Emergency Medicine | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1619956919 | CATHY SCHMIDT KLICK RN CNP Individual | Nurse Practitioner | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1770562027 | JOHN CHARLES DOOLEY JR. M.D. Individual | Radiology (Diagnostic Radiology) | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1740269919 | RITA CAROLYN KORMAN C.P.N.P., I.B.C.L.C. Individual | Nurse Practitioner (Pediatrics) | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1902885171 | CRAIG MANWELL MCCORMICK O.D. Individual | Optometrist | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1619956885 | CARLA MARIE MEHELICH-UBBEN PA-C Individual | Physician Assistant | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1447239645 | JULIAN RICHARD WAGGONER III M.D. Individual | Anesthesiology | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1629057898 | BARBARA JO MEEK-THUE R.N. C.N.P. Individual | Nurse Practitioner | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1417936683 | JUDITH L MYERS CRNA Individual | Nurse Anesthetist, Certified Registered | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1063491256 | EDWARD REECE SHAMAN M.D. Individual | Family Medicine | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1407835606 | SHARON FAYE SWANSON-HAAPALA PSYD Individual | Psychologist | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1497735534 | DONALD J.F. KAMMERER M.D. Individual | Family Medicine | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1912986092 | NANCY ANNE FELL PA-C Individual | Physician Assistant | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
| 1265411342 | EDWARD NICHOLAS GRAYDEN M.D. Individual | Anesthesiology | 404 W FOUNTAIN ST ALBERT LEA, MN 56007 (507) 373-2384 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184603581, enumerated in the NPI registry as an "individual" on January 13, 2006
The provider is located at 404 W Fountain St Albert Lea, Mn 56007 and the phone number is (507) 373-2384
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Medica, Sanford Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.82 with an average copayment of $21.45 for new patient appointments. Established patients should expect a typical charge of $69.74 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on January 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.