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MARK S SHORT PA-C
NPI 1194748863
Physician Assistant in Fort Leonard Wood, MO

Active since July 25, 2006PECOS Enrolled
77.5/100
CMS Quality Rating
126 MISSOURI AVE, MCXP-CCS-CR, FORT LEONARD WOOD, MO 65473(573) 596-0417(573) 596-0524 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark S Short Pa-c NPPES

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

MARK S SHORT PA-C (NPI 1194748863) is an individual physician assistant in Fort Leonard Wood, Missouri, licensed in Missouri (2011012296) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194748863
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK S SHORTCredential: PA-C
Location Address126 MISSOURI AVE, MCXP-CCS-CRFort Leonard Wood, MO 65473-8952
Mailing Address126 Missouri Ave, Mcxp-ccs-crFort Leonard Wood, MO 65473-8952 · (573) 596-0417 · Fax (573) 596-0524
Phone(573) 596-0417
Fax(573) 596-0524
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateMay 6, 2021
NPPES CertifiedMay 6, 2021
✔ NPI 1194748863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 2011012296
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
126 MISSOURI AVE, Fort Leonard Wood, MO 65473
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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)

Mark S Short Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 65473 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

DR. BRENDAN DAUGHARTY GRIFFIS DO
Anesthesiology
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0471
VICTORIA ANNE GRUBE
Specialist/Technologist, Pathology (Immunology)
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-1682
SHANNON RAE MATHERLY CRT
Respiratory Therapist, Certified
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0131
NICHOLAS DOBBS
Physical Therapy Assistant
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-1707
MRS. SHAUNIA ROBERTS LPN
Licensed Practical Nurse
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-1766
DEBBIE JEAN ROBERTS
Specialist/Technologist (Audiology Assistant)
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0131
MRS. KATHY LYNN MULLIHAN
Registered Nurse (Emergency)
126 MISSOURI AVE
FT. LEONARD WOOD, MO 65473
Pulaski County (573) 596-0456
RICKEY RODGER MARTIN PA
Physician Assistant (Medical)
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0417

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 Short's NPI number?

The NPI number for Mark Short is 1194748863. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Mark Short located?

Mark Short practices at 126 Missouri Ave Mcxp-Ccs-Cr, Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-0417.

What is Mark Short's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mark Short enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Short was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.