MARK T EDNEY MD
NPI 1184684789
Urology in Berlin, MD

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
314 FRANKLIN AVE STE 302, BERLIN, MD 21811(410) 641-3735 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark T Edney Md NPPES

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

MARK T EDNEY MD (NPI 1184684789) is an individual urology provider in Berlin, Maryland, licensed in Maryland (D60185) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1184684789
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMARK T EDNEYCredential: MD
Location Address314 FRANKLIN AVE STE 302Berlin, MD 21811-1238
Mailing Address10200 Grand Central Ave Ste 220Owings Mills, MD 21117-4366 · (410) 641-3735
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1998
Enumeration DateMarch 27, 2006
Last NPPES UpdateMay 27, 2025
NPPES CertifiedMay 27, 2025
NPI 1184684789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MD · D60185
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.
314 FRANKLIN AVE STE 302, Berlin, MD 21811

Secondary Practice Locations 3

Location 11342 South Division Street, Unit 401 Peninsula Urology Associates PASalisbury, MD 21084 · Phone (410) 546-2133 · Fax (210) 548-3361
Location 2220 Pennsylvania AveSeaford, DE 19973-3820 · Phone (410) 391-6131
Location 31111 Mount Hermon RdSalisbury, MD 21804-5109 · Phone (410) 546-2133

Other Identifiers 1

Medicaid405034700MD

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

Mark T Edney 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 ID7012809015
PECOS Enrollment IDI20040325001127, I20080908000180
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 33

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.

Bcg live intravesical instillation, 1 mg J9030
BCG live intravesical instillation is a procedure where a weakened form of a bacteria is introduced into your bladder. This helps your body's immune system to fight off certain bladder conditions. The procedure is generally safe and effective.
1,100 services15 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.
528 services427 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.
409 services365 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
304 services63 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
262 services58 patients
Limited ultrasound scan behind abdominal cavity 76775
A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.
256 services248 patients

Hospital Affiliations CMS Care Compare 3

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Atlantic General Hospital

Acute Care Hospitals · Berlin, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210061
Location9733 Healthway DriveBerlin, MD 21811 · Worcester County
Emergency services

Riverside Shore Memorial Hospital

Acute Care Hospitals · Onancock, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490037
Location20480 Market StreetOnancock, VA 23417 · Accomack County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21811 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%363 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers32 claims6,300 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
9 suppliers128 claims18,420 services$1.50 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
5 suppliers38 claims8,850 services$6.16 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
2 suppliers18 claims112 services$1.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Urology
314 FRANKLIN AVE STE 302
BERLIN, MD 21811
Nurse Practitioner
314 FRANKLIN AVE STE 302
BERLIN, MD 21811
Urology
314 FRANKLIN AVE STE 302
BERLIN, MD 21811

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 Edney's NPI number?

The NPI number for Mark Edney is 1184684789. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Mark Edney located?

Mark Edney practices at 314 Franklin Ave Ste 302, Berlin, MD 21811. The listed phone number is (410) 641-3735.

What is Mark Edney's specialty?

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

Is Mark Edney enrolled in Medicare?

Yes. Mark Edney 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.

Is Mark Edney affiliated with any hospitals?

According to CMS data, Mark Edney is affiliated with Tidalhealth Peninsula Regional, Inc, Atlantic General Hospital and Riverside Shore Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mark Edney was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.