Doctor profile · Federal record
Dr. Mark Metwally, MD
Gastroenterology Physician (CMS: Gastroenterology) · Burnt Hills, NY
- NPI 1316122823
- Accepts Medicare
- MIPS 26.8 / 100 · 2023
- 19 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
848 Route 50
Burnt Hills, NY 12027
(518) 831-1500
fax (518) 377-1677 - Additional location
-
1 West Ave Ste 130
Saratoga Springs, NY 128666050 - Additional location
-
1770 Route 9
Halfmoon, NY 120652495
Credentials & registration
- NPI registered
- January 2008 — 18 yrs on file
- Profile last updated
- February 3, 2025
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- New York #274634
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1316122823. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
26,094
Distinct HCPCS
10
Medicare allowed
$674,200
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J3380 |
Injection, vedolizumab, 1 mg | 22,200 | 26 | $22 | |
J1745 |
Injection, infliximab, excludes biosimilar, 10 mg | 3,220 | 13 | $33 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 148 | 128 | $122 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 103 | 102 | $151 | |
96365 |
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 78 | 27 | $61 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 62 | 60 | $114 | |
96413 |
Administration of chemotherapy into vein, 1 hour or less | 58 | 18 | $124 | |
96415 |
Administration of chemotherapy into vein, each additional hour | 56 | 17 | $27 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 56 | 46 | $172 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 31 | 30 | $240 |
In context: peer comparison
Among 12 peers in Burnt Hills Gastroenterology Physician, average services per provider: 440. This provider delivers 59× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
1,239
Patients
257
Total drug cost
$797,827
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 390 | 109 | $7,072 |
| Famotidine | Generic | 241 | 61 | $3,658 |
| Pantoprazole Sodium | Generic | 180 | 43 | $2,705 |
| Mesalamine | Generic | 97 | 21 | $76,734 |
| Lansoprazole | Generic | 52 | 12 | $1,816 |
| Linzess (Linaclotide) | Brand | 49 | 11 | $29,348 |
| Creon (Lipase/Protease/Amylase) | Brand | 39 | 0 | $78,710 |
| Balsalazide Disodium | Generic | 34 | 0 | $7,882 |
| Ursodiol | Generic | 31 | 0 | $6,985 |
| Sulfasalazine | Generic | 24 | 0 | $616 |
Hospital affiliations
Frequently asked questions
What is Dr. Mark Metwally's medical specialty?
Dr. Mark Metwally practices Gastroenterology Physician in Burnt Hills, NY.
Where does Dr. Mark Metwally practice?
Dr. Mark Metwally practices at 848 Route 50, Burnt Hills, NY 12027. Office phone: 5188311500.
What is Dr. Mark Metwally's NPI?
Dr. Mark Metwally's National Provider Identifier (NPI) is 1316122823, issued by NPPES.
Does Dr. Mark Metwally accept Medicare assignment?
Yes. Dr. Mark Metwally accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mark Metwally commonly perform?
Top Medicare-reported procedures in 2023: Injection, vedolizumab, 1 mg (HCPCS J3380); Injection, infliximab, excludes biosimilar, 10 mg (HCPCS J1745); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.