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MARK LANDRY MD
NPI 1215566104
Otolaryngology in Greenville, SC

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
200 PATEWOOD DR STE B400, GREENVILLE, SC 29615(864) 454-4368(864) 241-9232 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Apr 3, 2020 (2 updates tracked since 2020).

About Mark Landry Md NPPES

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

MARK LANDRY MD (NPI 1215566104) is an individual otolaryngology provider in Greenville, South Carolina, licensed in South Carolina (95204) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215566104
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMARK LANDRYCredential: MD
Location Address200 PATEWOOD DR STE B400Greenville, SC 29615-6306
Mailing Address300 E Mcbee Ave Ste 300Greenville, SC 29601-2899 · (864) 522-8611
Phone(864) 454-4368
Fax(864) 241-9232
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 3, 2020
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1215566104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in SC · 95204
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 PATEWOOD DR STE B400, Greenville, SC 29615
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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 and accepts Medicare assignment

Mark Landry 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 ID4587162755
PECOS Enrollment IDI20250807004001
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.

Hospital Affiliations CMS Care Compare 2

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

Prisma Health Oconee Memorial Hospital

Acute Care Hospitals · Seneca, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420009
Location298 Memorial DrSeneca, SC 29672 · Oconee County
Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 20

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

LAURA CAITLYN GILLEN PA-C
Physician Assistant
200 PATEWOOD DR STE B400
GREENVILLE, SC 29615
Greenville County (864) 454-4368
GUSTAVO GUIMARAES RANGEL
Otolaryngology (Pediatric Otolaryngology)
200 PATEWOOD DR STE B400
GREENVILLE, SC 29615
Greenville County (864) 454-4368
EDWARD BENJAMIN PENN JR. MD
Otolaryngology (Pediatric Otolaryngology)
200 PATEWOOD DR STE B400
GREENVILLE, SC 29615
Greenville County (864) 522-8603
KEVIN CARLSON
Otolaryngology
200 PATEWOOD DR STE B400
GREENVILLE, SC 29615
Greenville County (864) 454-4368
DR. WESLEY MATTHEW ABADIE M.D.
Otolaryngology
200 PATEWOOD DR STE B400
GREENVILLE, SC 29615
Greenville County (864) 454-4368
EMILY JANE CHAMBERLAIN AUD
Audiologist
200 PATEWOOD DR STE B400
GREENVILLE, SC 29615
Greenville County (864) 454-4368
MRS. LEANNE L. ALEWINE M.A., CCC-SLP
Speech-Language Pathologist
200 PATEWOOD DR STE B400
GREENVILLE, SC 29615
Greenville County (864) 454-4368
ALLYSON BROOKE BERRY NP
Nurse Practitioner (Family)
200 PATEWOOD DR STE B400
GREENVILLE, SC 29615
Greenville County (864) 454-4368

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 Landry's NPI number?

The NPI number for Mark Landry is 1215566104. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Mark Landry located?

Mark Landry practices at 200 Patewood Dr Ste B400, Greenville, SC 29615. The listed phone number is (864) 454-4368.

What is Mark Landry's specialty?

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

Is Mark Landry enrolled in Medicare?

Yes. Mark Landry 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 Landry affiliated with any hospitals?

According to CMS data, Mark Landry is affiliated with Prisma Health Oconee Memorial Hospital and Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mark Landry was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.