Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mark William Memolo, MD

Individual provider Diagnostic Radiology Physician · NPI 1386627115

Mark William Memolo, MD practises Diagnostic Radiology in Gastonia, North Carolina. Graduated from Jefferson Medical College of Thomas Jefferson University in 1987, 39 years ago. Practices with Gaston Radiology PA, a 29-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
39
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

620 Summit Crossing Pl Ste 106
Gastonia, NC 28054 Not confirmed with CMS for 16 years — call before visiting
Phone: (704) 867-8021
Fax: (704) 864-4606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 33274 (NC)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 33274 (NC)

Record details

NPI number1386627115
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 25, 2005
Last updated in NPPESAugust 23, 2010

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1987 (39 years in practice)
Group practice Gaston Radiology Pa — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients1,969
Services billed 3,283 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Gaston Radiology PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 29 clinicians in the practice; 12 are shown here.

Other providers in Gastonia