Doctor profile · Federal record

Dr. Mark Ettore, MD

Pediatric Anesthesiology Physician (CMS: Anesthesiology) · Philadelphia, PA

  • NPI 1902250244
  • Accepts Medicare
  • MIPS 86.9 / 100 · 2023
  • 10 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3401 Civic Center Blvd
Philadelphia, PA 191044319
(215) 590-4557
Mailing address
3870 Manor St
Philadelphia, PA 191285206

Credentials & registration

NPPES · NUCC
NPI registered
April 2016 — 10 yrs on file
Profile last updated
May 7, 2024
Year of graduation
2016 — 10 yrs since
Specialty taxonomy
207LP3000X — NUCC code
State license (1)
Pennsylvania #MT210596

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1902250244. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
64
Distinct HCPCS
4
Medicare allowed
$4,846
HCPCS Description Services Patients Avg allowed
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 20 20 $78
00811 Anesthesia for other procedure on large bowel using an endoscope 18 18 $70
00910 Anesthesia for other procedure on urinary system through urethra 14 13 $70
00813 Anesthesia for procedure on small and large bowel using an endoscope 12 12 $86

In context: peer comparison

Among 2 peers in this city , average services per provider: 14. This provider delivers 4.6× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Mark Ettore's medical specialty?
Dr. Mark Ettore practices Pediatric Anesthesiology Physician in Philadelphia, PA.
Where does Dr. Mark Ettore practice?
Dr. Mark Ettore practices at 3401 Civic Center Blvd, Philadelphia, PA 191044319. Office phone: 2155904557.
What is Dr. Mark Ettore's NPI?
Dr. Mark Ettore's National Provider Identifier (NPI) is 1902250244, issued by NPPES.
Does Dr. Mark Ettore accept Medicare assignment?
Yes. Dr. Mark Ettore accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mark Ettore commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for other procedure on urinary system through urethra (HCPCS 00910). Source: CMS Medicare Physician & Other Practitioners file.