CMS-1500 Box 24J / 33a • NPI
1679104624
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
2200 E WASHINGTON ST, BLOOMINGTON, IL, 61701-4364
✓ 9-Digit EDI 837 ZIP+4 (61701-4364)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1679104624 (MARK GARBEK, PA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1679104624)
Medicare Beneficiaries
243
Total Billed Services
465
Distinct CPT/HCPCS Codes
8
Medicare Allowed Total
$41,469.86
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 39 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 147 |
99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 181 |
99239 | Hospital discharge day management, more than 30 minutes | 89 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amiodarone Hcl Amiodarone Hcl | 13 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 13 | 12 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 15 | 15 |
| Atorvastatin Calcium Atorvastatin Calcium | 17 | 17 |
| Carvedilol Carvedilol | 12 | 12 |
| Cefdinir Cefdinir | 16 | 16 |
| Doxycycline Monohydrate Doxycycline Monohydrate | 11 | 11 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 15 | 14 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1679104624 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MARK GARBEK, PA |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2200 E WASHINGTON ST, BLOOMINGTON, IL, 61701-4364 |
| Practice Telephone / Fax | Tel: (309) 662-3311 |
| Administrative Mailing Address | 5783 ZIMMER RD, WILLIAMSTON, MI, 48895-9474 |
| Enumeration & Last Sync | Enumerated: 2020-01-29 | CMS Record Updated: 2022-08-30 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MARK GARBEK, PA)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: IL | License: 085007390 | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: MI | License: 5601009691 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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