MR. MARK F SHERIDAN MD
NPI 1013984525
Otolaryngology in Huntington, WV

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
#3 STONECREST DR, HUNTINGTON, WV 25701(304) 522-6388(304) 522-8040 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mark F Sheridan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK F SHERIDAN MD (NPI 1013984525) is an individual otolaryngology provider in Huntington, West Virginia, licensed in West Virginia (19499) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary's Medical Center, and is a graduate of Jc Edwards School Of Medicine, Marshall University (1987).

NPPES Registry Identity

NPI1013984525
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMR. MARK F SHERIDANCredential: MD
Location Address#3 STONECREST DRHuntington, WV 25701
Mailing Address2585 3rd AveHuntington, WV 25703-1642 · (304) 697-1396 · Fax (304) 697-2086
Fax(304) 522-8040
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1987
Enumeration DateMarch 2, 2006
Last NPPES UpdateJuly 25, 2016
NPI 1013984525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in WV · 19499 Licensed in OH · 350788785 Licensed in KY · 37594
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Other Identifiers 10

Medicaid0101257000WV
Medicaid64942527KY
Medicare PIN9299541WV
Medicaid2091909OH
Medicare PINDE0250OH
Medicare PINCI1467WV
Medicare PIN9299542OH
Medicare PINSH0865891
Medicare PIN040012799
Medicare UPING27977

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Mark F Sheridan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274557160
PECOS Enrollment IDI20100624000416, I20120312000721
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
860 services17 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
51 services48 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services12 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510007
Location2900 1st AvenueHuntington, WV 25702 · Cabell County
Emergency services

Cabell Huntington Hospital, Inc

Acute Care Hospitals · Huntington, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510055
Location1340 Hal Greer BoulevardHuntington, WV 25701 · Cabell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist-Hearing Aid Fitter
#3 STONECREST DR
HUNTINGTON, WV 25701
Audiologist-Hearing Aid Fitter
#3 STONECREST DR
HUNTINGTON, WV 25701
Otolaryngology
#3 STONECREST DR
HUNTINGTON, WV 25701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Sheridan's NPI number?

The NPI number for Mark Sheridan is 1013984525. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Mark Sheridan located?

Mark Sheridan practices at #3 Stonecrest Dr, Huntington, WV 25701. The listed phone number is (304) 522-6388.

What is Mark Sheridan's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mark Sheridan enrolled in Medicare?

Yes. Mark Sheridan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Sheridan accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Mark Sheridan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Sheridan affiliated with any hospitals?

According to CMS data, Mark Sheridan is affiliated with St Mary's Medical Center and Cabell Huntington Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Mark Sheridan was last updated on July 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.