MARK A STUDENY MD
NPI 1326008517
Internal Medicine - Cardiovascular Disease in Huntington, WV

Q: What is Mark Studeny's NPI number?

The NPI number for Mark Studeny is 1326008517. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Q: What is Mark Studeny's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Studeny was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment

1249 15TH ST, SUITE 4000, HUNTINGTON, WV 25701(304) 691-8500(304) 691-8510 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mark A Studeny Md NPPES

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

MARK A STUDENY MD (NPI 1326008517) is an individual cardiovascular disease provider in Huntington, West Virginia, licensed in West Virginia (16275) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary's Medical Center, and is a graduate of Jc Edwards School Of Medicine, Marshall University (1986).

NPPES Registry Identity

NPI1326008517

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameMARK A STUDENYCredential: MD

Location Address1249 15TH ST, SUITE 4000Huntington, WV 25701

Mailing Address1249 15th St, Suite 4000Huntington, WV 25701 · (304) 691-8500 · Fax (304) 691-8510

Phone(304) 691-8500

Fax(304) 691-8510

Sole ProprietorNo

Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1986

Enumeration DateMarch 23, 2006

Last NPPES UpdateNovember 23, 2021

NPPES CertifiedNovember 23, 2021

✔ NPI 1326008517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in WV · 16275

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 16275 (WV)

1249 15TH ST, Huntington, WV 25701

Open in Google Maps ↗

Other Identifiers 3

Medicaid0075691000WV

Medicaid0910732OH

Medicaid64699507KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Mark A Studeny 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 ID2769422013

PECOS Enrollment IDI20051213000358

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 Studeny reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cabell Huntington Hospital Inc

0.2 mi

Neurology

1340 HAL GREER BLVD, NEURO PHYSIOLOGY LAB
Huntington, WV 25701

Reassigned Medicare billing, West Virginia enrollment
183 clinicians in this Medicare group

NPI 1043594971 (304) 526-6387

University Physicians & Surgeons, Inc

0.2 mi

Internal Medicine

1600 MEDICAL CENTER DRIVE
Huntington, WV 25701

Reassigned Medicare billing, West Virginia enrollment
525 clinicians in this Medicare group

NPI 1730183286 (304) 691-8722

St Marys Medical Center, Inc.

2.2 mi

Internal Medicine

2900 1ST AVE
Huntington, WV 25702

Reassigned Medicare billing, West Virginia enrollment
21 clinicians in this Medicare group

NPI 1104681485 (304) 526-1014

St. Mary's Himg, LLC

4.6 mi

Internal Medicine

3075 US ROUTE 60
Huntington, WV 25705

Reassigned Medicare billing, West Virginia enrollment
103 clinicians in this Medicare group

NPI 1184233454 (304) 528-4600

Point Pleasant Physician Billing Services

36 mi

Multi-Specialty

2520 VALLEY DR
Pt Pleasant, WV 25550

Reassigned Medicare billing, West Virginia enrollment
82 clinicians in this Medicare group

NPI 1396798898 (304) 675-4340

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

Areas of Expertise CMS Part B claims 12

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.

217 services183 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.

102 services79 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

56 services52 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

48 services45 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

43 services27 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

30 services30 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

26 services22 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

17 services15 patients

Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent G0250

This service involves your doctor evaluating your home INR (a blood clotting test) results. It's for patients with a mechanical heart valve, chronic atrial fibrillation, or venous thromboembolism who meet specific criteria. It helps manage your treatment, but tests aren't conducted frequently.

17 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number510007

Location2900 1st AvenueHuntington, WV 25702 · Cabell County

Emergency services

Cabell Huntington Hospital, Inc

Acute Care Hospitals · Huntington, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510055

Location1340 Hal Greer BoulevardHuntington, WV 25701 · Cabell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

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.

FAHAD K SHEIKH MD

Student in an Organized Health Care Education/Training Program

1249 15TH ST, SUITE 2000
HUNTINGTON, WV 25701

Cabell County (304) 691-1000

ATEF H EL GASSIER MBBS

Internal Medicine

1249 15TH ST, SUITE 2000
HUNTINGTON, WV 25701

Cabell County (304) 691-1000

HEATHER R AULICK CFNP

Nurse Practitioner (Family)

1249 15TH ST, SUITE 4000
HUNTINGTON, WV 25701

Cabell County (304) 691-8500

DR. JAMES ROBERT HAYES MD

Internal Medicine

1249 15TH ST
HUNTINGTON, WV 25701

Cabell County (304) 691-1000

STEPHANIE NICOLE VANSCOY

Nurse Practitioner (Primary Care)

1249 15TH ST
HUNTINGTON, WV 25701

Cabell County (304) 691-1000

MRS. BARBARA DENISE AKPANUDO FNP-BC

Nurse Practitioner (Family)

1249 15TH ST, SUITE 3000
HUNTINGTON, WV 25701

Cabell County (304) 691-1000

PETER OTTAVIANO DO

Internal Medicine (Pulmonary Disease)

1249 15TH ST, SUITE 3000
HUNTINGTON, WV 25701

Cabell County (304) 691-1000

FREZGHI KEBREAB MD

Internal Medicine

1249 15TH ST, SUITE 2000
HUNTINGTON, WV 25701

Cabell County (304) 691-1000

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 Studeny's NPI number?

The NPI number for Mark Studeny is 1326008517. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Mark Studeny located?

Mark Studeny practices at 1249 15th St Suite 4000, Huntington, WV 25701. The listed phone number is (304) 691-8500.

What is Mark Studeny's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mark Studeny enrolled in Medicare?

Yes. Mark Studeny 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.

Which organizations bill Medicare for Mark Studeny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Studeny reassigns Medicare benefits to 5 organizations: Cabell Huntington Hospital Inc (Huntington, WV), University Physicians & Surgeons, Inc (Huntington, WV), St Marys Medical Center, Inc. (Huntington, WV), St. Mary's Himg, LLC (Huntington, WV) and Point Pleasant Physician Billing Services (Pt Pleasant, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Studeny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Studeny accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Mark Studeny 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 Studeny affiliated with any hospitals?

According to CMS data, Mark Studeny is affiliated with St Mary's Medical Center and Cabell Huntington Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Mark Studeny was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.