Individual provider Active NPI

Mark W Byrge, D.O.

  • Vascular Surgery Physician
  • Barberton, OH
National Provider Identifier
1053307389
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
34006236B Issued in OH
Practice address
210 5TH St NE
Ste. 8
Barberton, OH 44203-3073
Phone
(330) 475-1616
Fax
(330) 475-1617
NPI assigned
Sep 22, 2005
Last updated
Nov 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 34006236B OH Primary

Addresses

Primary practice location

210 5TH St NE
Ste. 8
Barberton, OH 44203-3073

Mailing address

210 5TH St NE
Ste. 8
Barberton, OH 44203-3073
Phone (330) 475-1616

Other identifiers 3

IdentifierTypeStateIssuer
MA9339501OtherOHMEDICARE ID
4018273OtherOHMEDICARE ID
2225238MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040113000031 OH Practitioner - Vascular SurgeryPractitioner - General Surgery 2264331495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
West Virginia School of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1945 Newark Granville Rd
Granville, OH 43023-9169
Phone (614) 627-2000

4101 Emerald Pkwy
Suite 200
Dublin, OH 43016-3323

4105 Emerald Pkwy
Dublin, OH 43016-3323
Phone (380) 898-9000

5300 N Meadows Dr
Grove City, OH 43123-2546

5300 N Meadows Dr Building
1 Suite 280
Grove City, OH 43123-2546
Phone (614) 627-2000

6001 E Broad St
Mount Carmel Palliative Care
Columbus, OH 43213-1502
Phone (614) 234-6000

6150 E Broad St
Columbus, OH 43213-1574
Phone (614) 546-4400

7333 Smiths Mill Rd
New Albany, OH 43054-9291
Phone (614) 775-6600

85 McNaughten Rd
Columbus, OH 43213-5111
Phone (614) 627-2000

85 McNaughten Rd
Suite 300
Columbus, OH 43213-5112
Phone 61462720006

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
75.57
Promoting interoperability
79
Improvement activities
40
Cost
73.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Two LLC Vascular Surgery Current Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Jan 3, 2017 Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Jan 3, 2017 Accepting new patients
Mark Byrge DO LLC Vascular Surgery PastSince Nov 20, 2003 Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

Interoperability endpoints

  • Direct secure messaging: mbyrge1148101@direct.trinity-health.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1053307389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 5TH ST NE",
            "address_2": "STE. 8",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033073",
            "telephone_number": "330-475-1616",
            "fax_number": "330-475-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 5TH ST NE",
            "address_2": "STE. 8",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033073",
            "telephone_number": "330-475-1616",
            "fax_number": "330-475-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRGE",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "34006236B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "MA9339501",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "4018273",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2225238",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

Verify at the official NPI Registry.