MARK J SCHARF M.D.
NPI 1366425290
Dermatology in Worcester, MA

Q: What is Mark Scharf's NPI number?

The NPI number for Mark Scharf is 1366425290. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Q: What is Mark Scharf's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Scharf was last updated on November 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment

97.02/100

CMS Quality Rating

281 LINCOLN ST, DEPARTMENT OF DERMATOLOGY, WORCESTER, MA 01605(508) 334-5979 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Mark J Scharf M.d. NPPES

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

MARK J SCHARF M.D. (NPI 1366425290) is an individual dermatology provider in Worcester, Massachusetts, licensed in Massachusetts (55431) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Emory University School Of Medicine (1982).

NPPES Registry Identity

NPI1366425290

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameMARK J SCHARFCredential: M.D.

Location Address281 LINCOLN ST, DEPARTMENT OF DERMATOLOGYWorcester, MA 01605-2138

Mailing AddressPo Box 415348Boston, MA 02241-5348

Phone(508) 334-5979

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 1982

Enumeration DateNovember 23, 2005

Last NPPES UpdateNovember 17, 2020

NPPES CertifiedNovember 17, 2020

✔ NPI 1366425290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in MA · 55431

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

281 LINCOLN ST, Worcester, MA 01605

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Other Identifiers 2

Medicaid110042790AMA

Medicaid3004759MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Mark J Scharf M.d. 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 ID941257125

PECOS Enrollment IDI20050331000698

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 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.

496 services381 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

440 services133 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.

248 services184 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

245 services195 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

185 services158 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

119 services99 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

100 services89 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

38 services26 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.

22 services22 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311

This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.

19 services17 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312

This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.

17 services12 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.

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.

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220001

Location60 Hospital RoadLeominster, MA 01453 · Worcester County

Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220163

Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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.

97.02/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.09

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

STACY AILEEN MEULENAERE OTR/L

Occupational Therapist

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-1000

RACHEL NOONE PA-C

Physician Assistant

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-6158

DR. THOMAS EVANS M.D.

Emergency Medicine

281 LINCOLN ST, MED STAFF SVCS
WORCESTER, MA 01605

Worcester County (508) 334-8015

RAJIV BALASURIYA M.D.

Family Medicine

281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605

Worcester County (508) 334-8015

DR. DANIEL LEE M.D., PHD

Internal Medicine (Medical Oncology)

281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605

Worcester County (508) 334-1131

MEGAN ELIZABETH KLEIN MS, CCC-SLP

Speech-Language Pathologist

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-1000

ANKUR SHAH NARAIN MD

Orthopaedic Surgery

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-1955

VICTORIA WHITNEY AU.D.

Audiologist

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-0926

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 Scharf's NPI number?

The NPI number for Mark Scharf is 1366425290. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Mark Scharf located?

Mark Scharf practices at 281 Lincoln St Department Of Dermatology, Worcester, MA 01605. The listed phone number is (508) 334-5979.

What is Mark Scharf's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Mark Scharf enrolled in Medicare?

Yes. Mark Scharf 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 Scharf accept?

Health plans from Anthem Blue Cross and Blue Shield list Mark Scharf 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 Scharf affiliated with any hospitals?

According to CMS data, Mark Scharf is affiliated with Umass Memorial Healthalliance Hospitals and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Mark Scharf was last updated on November 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.