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MARK SCHLOTTERBACK
NPI 1346775921
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since April 20, 2017PECOS EnrolledAccepts Medicare Assignment
12301 WILSHIRE BLVD STE 512, LOS ANGELES, CA 90025(888) 684-2779 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2021, Apr 20, 2017 (2 updates tracked since 2017).

About Mark Schlotterback NPPES

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

MARK SCHLOTTERBACK (NPI 1346775921) is an individual psychiatry provider in Los Angeles, California, licensed in California (172152) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1346775921
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMARK SCHLOTTERBACK
Location Address12301 WILSHIRE BLVD STE 512Los Angeles, CA 90025-1053
Mailing Address12301 Wilshire Blvd Ste 512Los Angeles, CA 90025-1053 · (888) 684-2779
Phone(888) 684-2779
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 20, 2017
Last NPPES UpdateSeptember 24, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2021
✔ NPI 1346775921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · 172152
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 90200000X
12301 WILSHIRE BLVD STE 512, Los Angeles, CA 90025
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Cigna HealthCare of Florida, Inc. 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 Schlotterback 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 ID2567840085
PECOS Enrollment IDI20220611000001
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 Reassignment

Medicare enrollment records show Mark Schlotterback reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mellow Medical Inc A Professional Corporation
6.7 mi
Psychiatry
8235 SANTA MONICA BLVD, SUITE 300
West Hollywood, CA 90046
  • Reassigned Medicare billing, California enrollment
  • 204 clinicians in this Medicare group
NPI 1407275886 (310) 892-4284

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 90025 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

NATALIE PANARO PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Los Angeles County (888) 684-2779
MEGAN FAYE WESTBROOK PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Los Angeles County (818) 441-8332
CARY L SANDERS
Counselor (Professional)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Los Angeles County (888) 684-2779
JONATHAN MARS MD
Psychiatry & Neurology (Psychiatry)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Los Angeles County (888) 684-2779
MR. JUSTIN SCOTT ROBERTS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Los Angeles County (888) 684-2779
DR. SARAH HOLLANDER MD
Psychiatry & Neurology (Psychiatry)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Los Angeles County (888) 684-2779
SEE WON CHUNG NP
Nurse Practitioner (Psychiatric/Mental Health)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Los Angeles County (310) 321-8089
MRS. SUMMER RHIANNON HOLDEN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Los Angeles County (888) 684-2779

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 Schlotterback's NPI number?

The NPI number for Mark Schlotterback is 1346775921. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Mark Schlotterback located?

Mark Schlotterback practices at 12301 Wilshire Blvd Ste 512, Los Angeles, CA 90025. The listed phone number is (888) 684-2779.

What is Mark Schlotterback's specialty?

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

Is Mark Schlotterback enrolled in Medicare?

Yes. Mark Schlotterback 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 organization bills Medicare for Mark Schlotterback's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Schlotterback reassigns Medicare benefits to Mellow Medical Inc A Professional Corporation (West Hollywood, CA). The 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 Schlotterback's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Schlotterback accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Mark Schlotterback 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.

When was this NPI record last updated?

The NPPES record for Mark Schlotterback was last updated on September 24, 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.