Individual provider Active NPI

Mark Bagg, MD

  • Orthopaedic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1730167479
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
K9221 Issued in TX
Practice address
21 Spurs LN Ste 248
San Antonio, TX 78240-1671
Phone
(210) 558-7025
Fax
(210) 558-4762
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X K9221 TX
Orthopaedic Surgery Physician 207X00000X K9221 TX Primary

Addresses

Primary practice location

21 Spurs LN Ste 248
San Antonio, TX 78240-1671

Mailing address

21 Spurs LN Ste 248
San Antonio, TX 78240-1671
Phone (210) 558-7025

Other identifiers 2

IdentifierTypeStateIssuer
141203303MedicaidTX
141203304MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070914000171 TX Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 3173617685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Uniformed Services Uhs Fe Hebert School of Med, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hand Center PAGroup PAC ID 9537127147, 7 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

21 Spurs LN
Suite 248
San Antonio, TX 78240-1669
Phone (210) 558-7025

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Center PA Orthopaedic Surgery CurrentSince Sep 20, 2007 Accepting new patients
Hill Country Electrodiagnostics PLLC PastSince Sep 20, 2007 Accepting new patients

Locations

21 Spurs Ln
Ste 248
San Antonio, TX 78240
Phone (210) 558-7025

21 Spurs Ln
Ste 310
San Antonio, TX 78240
Phone (210) 558-7025

Interoperability endpoints

  • Direct secure messaging: mark.bagg@1333.chartlogic.direct-ci.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1730167479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SPURS LN STE 248",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401671",
            "telephone_number": "210-558-7025",
            "fax_number": "210-558-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SPURS LN STE 248",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401671",
            "telephone_number": "210-558-7025",
            "fax_number": "210-558-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGG",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "K9221",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K9221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141203303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141203304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.