Mark J Hermacinski, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35333 Issued in CO

Practice address

940 Central Park Drive
Suite 200
Steamboat Springs, CO 80487-8853

Phone

(970) 879-9299

NPI assigned

Sep 27, 2006

Last updated

Jun 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

General Surgery

Education

R Franklin University of Med & Sci/Chicago Medical School, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alpine Surgical Associates PCGroup PAC ID 9335382225, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alpine Surgical Associates PC

  • Surgery Physician
  • Steamboat Springs, CO
  • NPI 1124119714
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1871684472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 CENTRAL PARK DR STE 200",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878853",
            "telephone_number": "970-879-9299",
            "fax_number": "866-228-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CENTRAL PARK DRIVE",
            "address_2": "SUITE 200",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878853",
            "telephone_number": "970-879-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMACINSKI",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "35333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01353333",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Denise Heil, B.S., C.M.T.
• Mark Leroy Helm, MD
• Leah K Hemeyer, M.A., L.P.C.
• Hiram Hendrich
• Erin Hennelly, R.N.
• Louisa Hess
• Howard Patterson Hezmall, MD
• Michael S Hickey
• Katherine Higgins, L.AC
• Tessa Nicole Hill, LCSW

• Surgery Physician in Steamboat Springs, CO
• Providers in Steamboat Springs, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.