NPPES file of Aug 9, 2026

Mark R. Mikles, MD

Orthopaedic Surgery Physician · Raleigh, NC

Mark R. Mikles, MD is an orthopaedic surgery physician with a practice address in Raleigh, North Carolina, and NPI 1316940133, issued on May 24, 2005. Check the license (North Carolina 200400553, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1316940133
Name
Mark R. Mikles
Credential
MD
Primary taxonomy
Orthopaedic Surgery Physician 207X00000X
License number
200400553 NC
Self-reported in NPPES; status is on the state search
Practice location
3001 Edwards Mill RD Ste 200, Raleigh, NC 27612
Phone
(919) 781-5600
Enumerated
May 24, 2005
Record last updated
Oct 17, 2025
Fax
(919) 863-6821
Medicare enrollment
Enrolled (PECOS I20040818001413); accepts Medicare assignment
Medical or professional school
Jefferson Medical College Of Thomas Jefferson University, 1998
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3001 Edwards Mill RD Ste 200

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Monica Arney, MDOrthopaedic Surgery Physician1275161010
  2. Joseph Barker, MDOrthopaedic Surgery Physician1518133800
  3. Daniel BermanPhysical Therapy Assistant1639653744
  4. Matthew Boes, M.D.Orthopaedic Surgery Physician1144324724
  5. Brenn Bolding, PA-C, MS, LATPhysician Assistant1932613809
  6. Zachary Bryant, PTAPhysical Therapy Assistant1740856392

Verify Mark R. Mikles in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNorth Carolina Medical Board
    Search for license 200400553
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the North Carolina license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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5.0 times the Medicare Part D claims of the average orthopaedic surgery physician in 2024

1,739 Medicare Part D claims for 862 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. 92 claims were for opioids.

  1. Mark Mikles1,739
  2. Specialty average346

Most prescribed

  1. Baclofen505 claims
  2. Meloxicam325 claims
  3. Gabapentin298 claims
  4. Methocarbamol160 claims
  5. Diclofenac Sodium80 claims
  6. Celecoxib76 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 82.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score69.1
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%97.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 3 group practices

  1. Legacy Healthcare Services IncDurham, NC
  2. Proactive Therapy OF North Carolina IncWilson, NC
  3. Raleigh Orthopaedic Clinic PARaleigh, NC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Mark R. Mikles among 977 orthopaedic surgery physician records in North Carolina

Mark R. Mikles, MD is one of 977 orthopaedic surgery physician records with a practice address in North Carolina. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 80% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 69% of these records are
  • Graduated1998 · median 2003 among the 677 with a school on file
  • Record last updated2025 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Surgery Physician providers in North Carolina

There are 977 orthopaedic surgery physician records in North Carolina.

The 8 orthopaedic surgery physician records with the nearest ZIP codes

  1. Daniel Albright, MDRaleigh, NC 276121053314922
  2. David Boone, MDRaleigh, NC 276121033112875
  3. George Callaway, MDRaleigh, NC 276121013910850
  4. John Chiavetta, MDRaleigh, NC 276121265435044
  5. William Isbell, MDRaleigh, NC 276121518960350
  6. Jeffrey Kobs, MDRaleigh, NC 276121124021951
  7. Joel Krakauer, MDRaleigh, NC 276121093718827
  8. Kevin Logel, MDRaleigh, NC 276121194777052

Common questions

What is Mark R. Mikles, MD's NPI number?

Mark R. Mikles, MD's National Provider Identifier (NPI) is 1316940133, issued on May 24, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Mark R. Mikles, MD located?

The NPPES record lists a practice address at 3001 Edwards Mill RD Ste 200, Raleigh, NC, 27612. Phone: (919) 781-5600. Providers update this record themselves, so call before visiting.

How can I verify Mark R. Mikles, MD's license?

NPPES lists North Carolina license number 200400553, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Mark R. Mikles, MD prescribe under Medicare Part D?

In 2024, Mark R. Mikles, MD had 1,739 Medicare Part D claims for 862 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.

What is Mark R. Mikles, MD's MIPS final score?

The 2023 MIPS final score is 82.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.