MARK REGINALD HILL MD
NPI 1215037791
Emergency Medicine in Raleigh, NC
NPI Status: Active since September 24, 2006
Contact Information
3400 WAKE FOREST RD
RALEIGH, NC
ZIP 27609
Phone: (919) 954-3400
- Individual
- Male
- Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
About MARK HILL
This page provides the complete NPI Profile along with additional information for Mark Hill, a provider established in Raleigh, North Carolina with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1215037791 assigned on September 2006. The practitioner's primary taxonomy code is 207P00000X with license number 200601096 (NC). The provider is registered as an individual and his NPI record was last updated April 2025.
- NPI
- 1215037791
- Provider Name
- MARK REGINALD HILL MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3400 WAKE FOREST RD RALEIGH, NC 27609
- Location Phone
- (919) 954-3400
- Mailing Address
- 1316 YUBINARANDA CIR CARY, NC 27511
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-24-2006
- Last Update Date
- 04-24-2025
- Code Navigator
Location Map
Secondary Locations
- 4800 S Croatan Hwy
Nags Head, NC 27959
(252) 449-4500
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 200601096
- License State
- NC
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Mark Hill 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) 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: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 14 times for 14 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 199 times for 191 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 111 times for 109 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 18 times for 18 patientsPhysician 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 27609 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.9
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $20.97
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.94
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $23.98
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* 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.
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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 | 2 | 1 | 5 | 0 | 3 | 7 | 7 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 0 | 3 | 14 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 0 + 3 + 1 + 4 + 7 + 1 + 8 + 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 1215037791 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 |
|---|---|---|---|
| 1083657266 | JONAS MCALARNEY MD Individual | Emergency Medicine | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 954-3215 |
| 1205929890 | DR. AMAL Y.A. YOUSSEF M. D., F. A. C. P. Individual | Internal Medicine | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 954-3715 |
| 1750430773 | ANTHONY MORGAN M.D. Individual | Internal Medicine | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 620-4467 |
| 1528117538 | SCOTT GERSH Individual | Internal Medicine | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 620-4467 |
| 1972652980 | CHARLES HODGES M.D. Individual | Internal Medicine | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 620-4467 |
| 1245389261 | ASGHAR YAMADI M.D. Individual | Internal Medicine | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 620-4467 |
| 1538363361 | ANJALI GUPTA MD Individual | Emergency Medicine | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 954-3965 |
| 1588962856 | PAMULA ANNE STAMM RN Individual | Registered Nurse | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 954-3285 |
| 1487754552 | MR. CATHAY C WANG M. D. Individual | Emergency Medicine | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 954-3271 |
| 1669734703 | JUDSON ELLIOTT CRNA Individual | Nurse Anesthetist, Certified Registered | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 873-9533 |
| 1255328340 | DR. RAJIV SANAT PARIKH MD Individual | Emergency Medicine | 3400 WAKE FOREST RD EMERGENCY DEPT. RALEIGH, NC 27609 (919) 954-3215 |
| 1871761791 | NADIA HAMEED PASHA MD Individual | Internal Medicine | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 954-3965 |
| 1750646733 | ALLETHAIRE MEDLICOTT RENNINGER CRNA Individual | Registered Nurse | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 954-3000 |
| 1821051368 | ARLENE CHUA MD Individual | Family Medicine | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 954-3215 |
| 1710326608 | MRS. ELIZABETH W MOSLEY CRNA Individual | Nurse Anesthetist, Certified Registered | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 954-3000 |
| 1982918074 | JESSE SEVERINO DUDAS Individual | Nurse Anesthetist, Certified Registered | 3400 WAKE FOREST RD DUKE RALEIGH HOSPITAL RALEIGH, NC 27609 (919) 954-3939 |
| 1558781336 | DUKE UNIVERSITY Organization | General Acute Care Hospital (Critical Access) | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 945-3000 |
| 1649685785 | BRANDI SNOW AGACNP Individual | Nurse Practitioner (Acute Care) | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 862-5680 |
| 1376731190 | WALTER GEORGE JONES JR. CRNA Individual | Nurse Anesthetist, Certified Registered | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 954-3765 |
| 1780617621 | MR. JAMES S KENNEDY CRNA Individual | Nurse Anesthetist, Certified Registered | 3400 WAKE FOREST RD RALEIGH, NC 27609 (919) 954-3765 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215037791, enumerated in the NPI registry as an "individual" on September 24, 2006
The provider is located at 3400 Wake Forest Rd Raleigh, Nc 27609 and the phone number is (919) 954-3400
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Cigna Healthcare. 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.9 with an average copayment of $20.97 for new patient appointments. Established patients should expect a typical charge of $95.94 and an average copayment of 23.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity and Emergency department visit for problem of moderate severity.
This NPI record was last updated on September 24, 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.