MARK D BYRON MD
NPI 1154315877
Urology in Jesup, GA

Q: What is Mark Byron's NPI number?

The NPI number for Mark Byron is 1154315877. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Q: What is Mark Byron's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Byron was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment

825 S 1ST ST, JESUP, GA 31545(912) 427-8033(912) 427-7565 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mark D Byron Md NPPES

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

MARK D BYRON MD (NPI 1154315877) is an individual urology provider in Jesup, Georgia, licensed in Georgia (47579) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Satilla Health, and is a graduate of St. Louis College Of Physicians And Surgeons (1988).

NPPES Registry Identity

NPI1154315877

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameMARK D BYRONCredential: MD

Location Address825 S 1ST STJesup, GA 31545

Mailing Address825 S 1st StreetJesup, GA 31545 · (912) 427-8033 · Fax (912) 427-7565

Phone(912) 427-8033

Fax(912) 427-7565

Sole ProprietorYes

Medical School CMSSt. Louis College Of Physicians And SurgeonsGraduated 1988

Enumeration DateSeptember 8, 2005

Last NPPES UpdateJune 27, 2024

✔ NPI 1154315877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in GA · 47579

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedSpecialistTaxonomy 174400000X · License 047579 (GA)

825 S 1ST ST, Jesup, GA 31545

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Other Identifiers 1

Medicaid00833599BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark D Byron 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 ID3971775792

PECOS Enrollment IDI20111020000100

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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Byron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mark Byron MD PC

1.6 mi

Medical Specialty

162 MEMORIAL DR
Jesup, GA 31545

Reassigned Medicare billing, Georgia enrollment

NPI 1063607828 (912) 427-8033

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 19

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.

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

2,533 services974 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

2,367 services905 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

225 services225 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

208 services37 patients

Dilation of urethra using an endoscope 52281

This procedure involves expanding a narrow passage in your urinary tract with the help of a special instrument called an endoscope. It aids in improving urine flow and resolving related issues, ensuring better urinary health.

170 services148 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

161 services37 patients

Injection procedure through bladder and urethra for x-ray imaging 51610

This procedure involves introducing a harmless dye via a small tube into your bladder. The dye helps to highlight the urinary system on an X-ray image. It's a safe, often painless process that aids in diagnosing urinary issues.

113 services100 patients

Shock wave crushing of kidney stones 50590

Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.

103 services90 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

91 services29 patients

Injection, garamycin, gentamicin, up to 80 mg J1580

This procedure involves administering an injection of Gentamicin, also known as Garamycin, up to a dose of 80 mg. Gentamicin is an antibiotic used to treat a wide variety of bacterial infections. It works by stopping the growth of bacteria.

49 services37 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

44 services34 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

43 services36 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

34 services34 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

30 services17 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

29 services27 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.

27 services20 patients

Complete removal of remaining or regrown prostate tissue with control of bleeding using an endoscope 52630

This procedure involves the complete removal of any residual or regrown tissue in a specific area of the body. An endoscope, a special tool with a camera, is used to control any bleeding and ensure precision. It's a common, safe, and effective treatment option.

19 services19 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

17 services16 patients

Removal of stone in ureter using an endoscope 52320

This procedure involves using a thin, flexible tool called an endoscope to locate and remove stones in the ureter. The endoscope is inserted through a natural opening in the body and navigated to the stone's location. Once found, the stone is removed or fragmented for easier removal.

15 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Satilla Health

Acute Care Hospitals · Waycross, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110003

Location1900 Tebeau StreetWaycross, GA 31501 · Ware County

Emergency services

Candler Hospital

Acute Care Hospitals · Savannah, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110024

Location5353 Reynolds StreetSavannah, GA 31412 · Chatham County

Emergency services Birthing friendly

Appling Healthcare

Acute Care Hospitals · Baxley, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110071

Location163 E Tollison StreetBaxley, GA 31513 · Appling County

Emergency services

Wayne Memorial Hospital

Acute Care Hospitals · Jesup, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110124

Location865 South First StreetJesup, GA 31545 · Wayne County

Emergency services Birthing friendly

Bacon County Hospital

Critical Access Hospitals · Alma, GA

OwnershipVoluntary non-profit - Other

CMS Certification Number111327

Location302 South Wayne StreetAlma, GA 31510 · Bacon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31545 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

0%1,355 patients1/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

99%5,781 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

21%919 patients1/55-star benchmark: 100%

Pain Assessment and Follow-Up

Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present

41%5,700 patients2/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

89%978 patients4/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user

81%1,373 patients4/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

80%978 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

13%978 patients1/55-star benchmark: 79%

Tobacco Use and Help with Quitting Among Adolescents

The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user

93%46 patients

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

75%347 patients4/55-star benchmark: 100%

Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months

15%153 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

HEADLEY FAMILY MEDICINE, LLC

Family Medicine

825 S 1ST ST
JESUP, GA 31545

Wayne County (912) 427-7400

DONALD F KENNEDY JR MD PC

Specialist

825 S 1ST ST
JESUP, GA 31545

Wayne County (912) 427-7500

BILL MCARTHUR MD INC

Clinic/Center (Primary Care)

825 S 1ST ST
JESUP, GA 31545

Wayne County (912) 427-2800

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 Byron's NPI number?

The NPI number for Mark Byron is 1154315877. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Mark Byron located?

Mark Byron practices at 825 S 1st St, Jesup, GA 31545. The listed phone number is (912) 427-8033.

What is Mark Byron's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Mark Byron enrolled in Medicare?

Yes. Mark Byron 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.

Which organization bills Medicare for Mark Byron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Byron reassigns Medicare benefits to Mark Byron MD PC (Jesup, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Byron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Byron accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mark Byron 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 Byron affiliated with any hospitals?

According to CMS data, Mark Byron is affiliated with Memorial Satilla Health, Candler Hospital, Appling Healthcare, Wayne Memorial Hospital and Bacon County Hospital.

When was this NPI record last updated?

The NPPES record for Mark Byron was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.