NPI Details
Mark Prebonich, M.D. is an internal medicine in Port Charlotte, FL with 30 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Mark Prebonich, M.D. NPI is 1912094442. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1996
The provider's business location address is:
2343 AARON ST
PORT CHARLOTTE, FL
ZIP 33952-305
Phone: (941) 629-2900
Fax: (855) 808-2036
The NPI 1912094442 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.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Blood test, clotting time (HCPCS:85610)
- Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Fee covid-19 vac 13 res (HCPCS:0124A)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
- Removal of impacted ear wax (HCPCS:69210)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
- Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
- Automated urinalysis test (HCPCS:81003)
- Hemoglobin a1c level (HCPCS:83036)
- Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
The enumeration date for this NPI number is 10/6/2006 and was last updated on 2/27/2024.
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 |
| 1 | 207R00000X | Internal Medicine | | 40109 | MINNESOTA | No |
| 2 | 207R00000X | Internal Medicine | | ME162650 | FLORIDA | Yes |
