MARK EDMUND THOMPSON D.O. NPI 1487646030

NPI Information

  • NPI: 1487646030
  • Provider Name: MARK EDMUND THOMPSON, D.O.
  • Classification: Radiology - 2085R0203X
  • Specialization: Therapeutic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4520 W US HIGHWAY 90
    LAKE CITY, FL
    ZIP 32055
  • Phone: (352) 755-0601

Map and Directions

Get Directions

NPI Details

Mark Edmund Thompson, D.O. is a therapeutic radiology radiology in Lake City, FL with 47 years of experience. The provider is therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology. Mark Edmund Thompson, D.O. NPI is 1487646030. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4520 W US HIGHWAY 90
LAKE CITY, FL
ZIP 32055-341
Phone: (352) 755-0601
Fax: (352) 755-0602

The NPI 1487646030 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy (HCPCS:G6002)
  • Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session (HCPCS:G6015)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev (HCPCS:G6013)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Continuing radiation therapy consultation per week (HCPCS:77336)
  • Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev (HCPCS:G6012)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Complex radiation therapy planning (HCPCS:77263)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • 3d radiation therapy planning (HCPCS:77295)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • High precision radiation therapy planning (HCPCS:77301)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)

The enumeration date for this NPI number is 8/19/2005 and was last updated on 5/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyOS10194FLORIDANo
22085R0203XRadiologyTherapeutic RadiologyOS10194FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1310302OTHERFLORIDAAVMED
202484OTHERFLORIDABLUE CROSS BLUE SHIELD
3PTAN AG644EOTHERFLORIDALINKED TO GROUP PTAN IE881A EFFECTIVE 08/01/2015
40825156MEDICAIDOHIO
5279300800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.