Individual provider Active NPI

Mark J Veronneau, DO

  • Otolaryngology Physician
  • Prestonsburg, KY
National Provider Identifier
1932208899
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
02996 Issued in KY
Practice address
5322 Ky Route 321
Suite 2
Prestonsburg, KY 41653-9114
Phone
(606) 886-2712
Fax
(606) 886-2713
NPI assigned
Sep 21, 2006
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 02996 KY Primary

Addresses

Primary practice location

5322 Ky Route 321
Suite 2
Prestonsburg, KY 41653-9114

Mailing address

PO Box 513
Staffordsville, KY 41256-0513
Phone (606) 886-2712

Other practice location 1

911 Bypass Rd Bldg A
Pikeville, KY 41501-1689
Phone (606) 430-2209

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mveronneau28637@PIKEVILLEDIRECT.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20070522000504 KY Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 5799882924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Ohio University, College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians
Mark Veronneau Plastics and ENT, PLLCGroup PAC ID 6002913332, 2 clinicians

Practice addresses (Care Compare)

184 S Mayo Trail
Pikeville, KY 41501-1518
Phone (606) 430-2213

5000 Ky Route 321
Prestonsburg, KY 41653-9113
Phone (606) 886-2712

5322 Ky Route 321
Prestonsburg, KY 41653-9114
Phone (606) 886-2712

911 Bypass Rd
Pikeville, KY 41501-1689

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
81.47
Promoting interoperability
100
Improvement activities
40
Cost
81.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Veronneau Plastics & ENT, PLLC Otolaryngology CurrentSince Dec 15, 2006 Accepting new patients
Pikeville Medical Center Inc. CurrentSince Aug 1, 2019 Accepting new patients
Pikeville Medical Center Inc CurrentSince Aug 1, 2019 Accepting new patients
Pikeville Medical Center Inc Past Accepting new patients

Locations

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

5322 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-2712

5322 Ky Route 321
#2
Prestonsburg, KY 41653
Phone (606) 886-2712

Interoperability endpoints

  • Direct secure messaging: mveronneau28637@pikevilledirect.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 3

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1932208899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513",
            "city": "STAFFORDSVILLE",
            "state": "KY",
            "postal_code": "412560513",
            "telephone_number": "606-886-2712",
            "fax_number": "606-886-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 KY ROUTE 321",
            "address_2": "SUITE 2",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539114",
            "telephone_number": "606-886-2712",
            "fax_number": "606-886-2713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Bypass Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011689",
            "country_code": "US",
            "telephone_number": "606-430-2209",
            "fax_number": "606-218-7509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERONNEAU",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "02996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mveronneau28637@PIKEVILLEDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "Direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard direct functionality",
            "address_1": "911 Bypass Rd Bldg A",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.