DR. MARK STANLEY WASSERMAN MD
NPI 1225130933
Obstetrics & Gynecology in Sullivan, MO

Q: What is Mark Wasserman's NPI number?

The NPI number for Mark Wasserman is 1225130933. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Q: What is Mark Wasserman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Wasserman was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment

965 MATTOX DR, SULLIVAN, MO 63080(573) 860-6000(573) 860-6016 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2025, Jul 7, 2025, Jul 2, 2024 (3 updates tracked since 2024).

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About Dr. Mark Stanley Wasserman Md NPPES

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

DR. MARK STANLEY WASSERMAN MD (NPI 1225130933) is an individual obstetrics & gynecology provider in Sullivan, Missouri, licensed in Missouri (R2F91) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1984).

NPPES Registry Identity

NPI1225130933

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. MARK STANLEY WASSERMANCredential: MD

Location Address965 MATTOX DRSullivan, MO 63080-2365

Mailing AddressPo Box 959318Saint Louis, MO 63195-9318 · (573) 756-6751 · Fax (573) 756-6807

Phone(573) 860-6000

Fax(573) 860-6016

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1984

Enumeration DateSeptember 2, 2006

Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1225130933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in MO · R2F91✔ Licensed in IL · 036104995

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

965 MATTOX DR, Sullivan, MO 63080

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Secondary Practice Locations 2

Location 12100 Madison AveGranite City, IL 62040-4701 · Phone (618) 451-4872 · Fax (618) 451-6203

Location 21103 W Liberty StFarmington, MO 63640-1921 · Phone (573) 701-7227

Other Identifiers 1

Medicaid036104995IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Blue Cross Blue Shield of Arizona 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

Dr. Mark Stanley Wasserman 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 ID2163411133

PECOS Enrollment IDI20260417000402

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 Reassignments

Medicare enrollment records show Mark Wasserman reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Missouri Baptist Hospital Of Sullivan

0.1 mi

Rural Health

751 SAPPINGTON BRIDGE RD
Sullivan, MO 63080

Reassigned Medicare billing, Missouri enrollment
76 clinicians in this Medicare group

NPI 1235228222 (573) 468-4186

Mercy Clinic Springfield Communities

15 mi

Rural Health

114 DOWNEY PL
Cuba, MO 65453

Reassigned Medicare billing, Missouri enrollment
Also billed through NPI 1245277631 (Missouri)
1,487 clinicians in this Medicare group

NPI 1063541704 (573) 885-3358

Mercy Hospitals East Communities

51 mi

General Acute Care Hospital

615 S NEW BALLAS RD
Saint Louis, MO 63141

Reassigned Medicare billing, Missouri enrollment
241 clinicians in this Medicare group

NPI 1427098169 (314) 251-6000

Osf Multi-Specialty Group

196 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1922445527 (309) 683-5050

Hugh Chatham Memorial Hospital

570 mi

Family Medicine

5229 ROCK CREEK RD
Hays, NC 28635

Reassigned Medicare billing, North Carolina enrollment
90 clinicians in this Medicare group

NPI 1144655903 (336) 696-2711

Scotland Memorial Hospital, Inc.

684 mi

Surgery

1007 CHERAW ST
Bennettsville, SC 29512

Reassigned Medicare billing, North Carolina enrollment
476 clinicians in this Medicare group

NPI 1598143620 (843) 535-0939

Summit Healthcare Medical Associates

1,045 mi

Rural Health

625 N 13TH W
Saint Johns, AZ 85936

Reassigned Medicare billing, Arizona enrollment
99 clinicians in this Medicare group

NPI 1962166934 (928) 337-3000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63080 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

87%197 patients4/55-star benchmark: 92%

Cervical Cancer Screening

Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…

94%1,021 patients

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.

97%9,733 patients4/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

56%1,004 patients3/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

98%253 patients4/55-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.

93%1,658 patients4/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

68%1,054 patients3/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 99% · 581 patients

Patients tobacco: 17% · 90 patients

77%581 patients4/55-star benchmark: 98%

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…

99%1,658 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…

80%1,658 patients4/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

58%1,658 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 20

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

RACHEL SALTZMAN

Dietitian, Registered