Mark W. Shen, D.O.
Individual provider Active NPI Family Medicine Physician · Osage Beach, MO
NPI 1265401285 · NPPES record last updated Jan 28, 2009
Key facts
- NPI
- 1265401285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2003005211 (MO)
- Practice address
- 1057 Medical Park Dr
Suite a
Osage Beach, MO 65065-3000 - Phone
- (573) 348-2745
- Fax
- (573) 348-8279
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lake Regional Health System
Practice addresses (Care Compare)
54 Hospital Dr
Osage Beach, MO 65065-3050
Hospital & facility affiliations
- Elara Caring
- Hospice Compassus-Central Missouri
- Lake Regional Health System
- Boone Hospital Center
- Arrowhead Senior Living Community
- Osage Beach Rehabilitation and Health Care Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.19 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.51
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060816000101 | MO | Practitioner - Family Practice | 2860495702 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Regional Health System | Family Medicine | Current |
Accepting new patients |
| Lake Regional Health System | Current | Accepting new patients | |
| Lake Regional Health System | Current |
Accepting new patients | |
| NHC Healthcare-Osage Beach LLC | Past | Accepting new patients | |
| Mercy Clinic East Communities | Family Medicine | Past | Accepting new patients |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
| Arrowhead Retirement Operations LLC | Past | Accepting new patients |
Locations
304A E 4th St
Eldon, MO 65026
Phone (573) 392-5654
1057 Medical Park Dr
Osage Beach, MO 65065
Phone (573) 302-3100
1057 Medical Park Dr
#A
Osage Beach, MO 65065
Phone (573) 302-3200
844 Passover Rd
Osage Beach, MO 65065
Phone (573) 348-2225
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
Interoperability endpoints
- markshen@mhccaremail.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2003005211 | MO | Yes |
Addresses
Primary practice location
1057 Medical Park Dr
Suite a
Osage Beach, MO 65065-3000
Mailing address
54 Hospital Dr
Osage Beach, MO 65065-3050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209035500 | Medicaid | MO |
Other providers in Osage Beach, MO
- Trevor James Schuneman Sr.
- Travis G Scott
- Laura Sessions
- Robert Christopher Sharpe
- Justin Thomas Shatto
- Olivia Lauren Sieve
- Vicky Laurine Simbro
- Timothy S. Sindlinger
- Rachandeep Singh
- Loretta Mae Skelton
All providers in Osage Beach, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.