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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARK ANTHONY CHESEBRO JR. D.O.
NPI 1124715073
Emergency Medicine in Fort Wayne, IN

Active since April 20, 2023PECOS Enrolled
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 482-4440 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Anthony Chesebro Jr. D.o. NPPES

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

DR. MARK ANTHONY CHESEBRO JR. D.O. (NPI 1124715073) is an individual emergency medicine provider in Fort Wayne, Indiana, licensed in Indiana (02008912A) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124715073
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARK ANTHONY CHESEBRO JR.Credential: D.O.
Location Address11109 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701
Mailing Address608 Union Chapel RdFort Wayne, IN 46845-9357 · (269) 982-4941
Phone(260) 482-4440
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 20, 2023
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1124715073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IN · 02008912A✔ Licensed in MI · 5151016213
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Anthony Chesebro Jr. D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789040817
PECOS Enrollment IDI20260318002079
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
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 20

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

AHMAD ALHARIRI MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-2020
DR. DANYELLE R ABER M.D.
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
AMY SOUERS M.D.
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
ANDY ALVAREZ HERRERA MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 672-6620
CORISSA PIATKA
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
MRS. CHRISTINA KAY FORD PHARMD
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-4400
SYDNEY NICHOLE RANZAU
Specialist/Technologist (Athletic Trainer)
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
HINA WAZIR MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 672-6620

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 Chesebro's NPI number?

The NPI number for Mark Chesebro is 1124715073. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Where is Mark Chesebro located?

Mark Chesebro practices at 11109 Parkview Plaza Dr, Fort Wayne, IN 46845. The listed phone number is (260) 482-4440.

What is Mark Chesebro's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Chesebro enrolled in Medicare?

Yes. Mark Chesebro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Chesebro was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.