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DR. MARK J SAXON D.O.
NPI 1255389326
Psychiatry & Neurology - Psychiatry in Kingston, PA

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
480 PIERCE STREET, SUITE 212, KINGSTON, PA 18704(570) 718-1996(570) 718-1997 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark J Saxon D.o. NPPES

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

DR. MARK J SAXON D.O. (NPI 1255389326) is an individual psychiatry provider in Kingston, Pennsylvania, licensed in Pennsylvania (0S-008157L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1992).

NPPES Registry Identity

NPI1255389326
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MARK J SAXONCredential: D.O.
Location Address480 PIERCE STREET, SUITE 212Kingston, PA 18704
Mailing Address480 Pierce Street, Suite 212Kingston, PA 18704 · (570) 718-1996 · Fax (570) 718-1997
Phone(570) 718-1996
Fax(570) 718-1997
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1992
Enumeration DateMay 4, 2006
Last NPPES UpdateMarch 28, 2012
✔ NPI 1255389326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · 0S-008157L
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
480 PIERCE STREET, Kingston, PA 18704
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Other Identifiers 5

Medicaid0015924070002PA
Medicare PIN875009PA
Medicare UPIN071011
Medicare UPING43131PA
Other000000266238Unison

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Dr. Mark J Saxon D.o. 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 ID3476506320
PECOS Enrollment IDI20050302001022
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 8

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.

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.
1,415 services361 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
278 services86 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
226 services67 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
205 services41 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
160 services61 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.
84 services47 patients

Hospital Affiliations CMS Care Compare 2

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18704 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 2

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

DENNIS R. GOURLEY LCSW
Social Worker (Clinical)
480 PIERCE STREET, SUITE 112
KINGSTON, PA 18704
Luzerne County (570) 714-0890
SAXON PSYCHIATRIC SERVICES P.C.
Psychiatry & Neurology (Psychiatry)
480 PIERCE STREET, SUITE 212
KINGSTON, PA 18704
Luzerne County (570) 718-1996

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 Saxon's NPI number?

The NPI number for Mark Saxon is 1255389326. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Mark Saxon located?

Mark Saxon practices at 480 Pierce Street Suite 212, Kingston, PA 18704. The listed phone number is (570) 718-1996.

What is Mark Saxon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mark Saxon enrolled in Medicare?

Yes. Mark Saxon 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.

What insurance does Mark Saxon accept?

Health plans from Providence Health Plan list Mark Saxon 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 Saxon affiliated with any hospitals?

According to CMS data, Mark Saxon is affiliated with Wilkes-Barre General Hospital and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Saxon was last updated on March 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.