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Dr. Mark Epler , PT, DPT, CSCS

Physical Therapist - Orthopedic • Bennington, VT

Active NPI 1922585231 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

100 Hospital Dr
Bennington, VT 052015004

Call 8024475140 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

100 Hospital Dr

Bennington, VT 052015004

Telephone 8024475140
Fax 8024475429
Organization at the Same NPPES Address or Phone
Southwestern Vermont Medical Center Inc Facility NPI 1629010194

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Twin Rivers Medical Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2006

Medicare patients

60 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $24,508 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $17,745 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Years since graduation

20 years (graduated 2006)

CMS Doctors and Clinicians data list 2006 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Epler has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Bennington and Vermont

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physical Therapist - Orthopedic in Vermont (2024, 18 clinicians with data). Median for this group: 1,093. Middle half: 712 to 1,889.

Too few clinicians listed under Physical Therapist - Orthopedic in Bennington have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Physical Therapist - Orthopedic in Vermont (2024, 18 clinicians with data). Median for this group: $29,204. Middle half: $17,769 to $53,842.

Too few clinicians listed under Physical Therapist - Orthopedic in Bennington have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Physical Therapist - Orthopedic in Vermont (2024, 18 clinicians with data). Median for this group: $21,962. Middle half: $12,841 to $40,366.

Too few clinicians listed under Physical Therapist - Orthopedic in Bennington have Medicare Part B data for 2024 to compare.

1 active clinicians are listed under Physical Therapist - Orthopedic with a practice address in Bennington, VT (32 in Vermont).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2019–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
743 56 $65.00 $23.59
97140 Therapy procedure using manual technique, each 15 minutes
120 19 $56.00 $19.08
97161 Evaluation for physical therapy, typically 20 minutes
49 45 $165.00 $95.74

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Physical Therapist - Orthopedic Primary Specialty

NUCC Taxonomy Code: 2251X0800X

License # reported to NPPES VT 040.0003406

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Physical Therapist - Sports

NUCC Taxonomy Code: 2251S0007X

License # reported to NPPES VT 040.0003406

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

Physical Therapist - Sports

NUCC Taxonomy Code: 2251S0007X

License # reported to NPPES NY 02210

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

Physical Therapist - Orthopedic

NUCC Taxonomy Code: 2251X0800X

License # reported to NPPES NY 022210

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Vermont State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20180829000771

Enrollment State Jurisdiction

NY

PECOS Control ID

7618227448

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Twin Rivers Medical Pc

16 Danforth St, Hoosick Falls, NY 120901226

Phone: 5186865770

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1891728846

Doctor of Medicine (M.D.)

NPI 1073142030

Doctor of Osteopathic Medicine (D.O.)

Dr. Carol Burgess , MD

Internal Medicine

NPI 1548256779

Doctor of Medicine (M.D.)

Christine Burke , APRN

Nurse Practitioner - Family

NPI 1528613155

Advanced Practice Registered Nurse

Dr. Sean Burns , MD

Emergency Medicine

NPI 1063953222

Doctor of Medicine (M.D.)

NPI 1720180623

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated July 20, 2018.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from August 2018 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1922585231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2018
Last Update: July 20, 2018
Sole Proprietor: No

Mailing Address

10 Avenue B

Cambridge, NY 128161239

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.