Mark David Iannettoni, MD

NPI 1164404976ActiveIndividual· Surgery· Greenville, NC

Surgery (MD) in Greenville, North Carolina, trained at State University of Ny Upstate Medical University (class of 1985). Medicare paid $20,289 for services to 48 patients in 2024. Bolton Medical Inc reported $47.13 in payments in 2025, mostly food and beverage.

Overview

NPI	1164404976
Status	Active
Entity type	Individual
Credential	MD
Sole proprietor	No
NPI issued	Nov 17, 2005
Last updated in NPPES	Feb 14, 2024
Certified by provider	Feb 14, 2024

Specialties and licenses

Taxonomy	Code	License	State
Surgery Primary	208600000X	2014-01742	NC
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X	35447	IA

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - Thoracic Surgery (NC)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	48
Services billed	140 across 41 procedure codes
Paid by Medicare	$20,289

Medicare sources and data years

Education and affiliations

Medical school	State University of Ny Upstate Medical University
Graduation year	1985
Medicare specialty	Thoracic Surgery
Secondary specialties	General Surgery