Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark R Mikles, MD

Individual provider Orthopaedic Surgery of the Spine Physician · NPI 1316940133

Mark R Mikles, MD is an Orthopedic Surgery in Raleigh, North Carolina. Graduated from Jefferson Medical College of Thomas Jefferson University in 1998, 28 years ago. Practices with Proactive Therapy of North Carolina Inc, a 565-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
28
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
NC
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3001 Edwards Mill Rd Ste 200
Raleigh, NC 27612-5243
Phone: (919) 781-5600
Fax: (919) 863-6821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1325 Timber Dr E, Garner, NC 27529-6924 — (919) 781-5600
  • 10880 Durant Rd Ste 300, Raleigh, NC 27614-6629 — (919) 781-5600

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 200400553 (NC)
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X · Licence 200400553 (NC)

Record details

NPI number1316940133
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2005
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1998 (28 years in practice)
Group practice Proactive Therapy Of North Carolina Inc — 565 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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