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MARK ROBERTSHAW
NPI 1396277265
Internal Medicine - Pulmonary Disease in Plano, TX

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment
6124 W PARKER RD, PROFESSIONAL OFFICE BUILDING 3, SUITE 530, PLANO, TX 75093(214) 778-1075 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2024, Feb 16, 2023, Mar 30, 2017 (3 updates tracked since 2017).

About Mark Robertshaw NPPES

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

MARK ROBERTSHAW (NPI 1396277265) is an individual pulmonary disease provider in Plano, Texas, licensed in Texas (S6924) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and is a graduate of University Of Missouri, Columbia School Of Medicine (2017).

NPPES Registry Identity

NPI1396277265
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMARK ROBERTSHAW
Location Address6124 W PARKER RD, PROFESSIONAL OFFICE BUILDING 3, SUITE 530Plano, TX 75093-8122
Mailing Address6124 W Parker Rd, Pob 3, Suite 530Plano, TX 75093-8122
Phone(214) 778-1075
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2017
Enumeration DateMarch 30, 2017
Last NPPES UpdateOctober 1, 20243 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1396277265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · S6924
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License S6924 (TX)
6124 W PARKER RD, Plano, TX 75093
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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 Robertshaw 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 ID4688047335
PECOS Enrollment IDI20230301000146
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 10

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.

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.
315 services165 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
133 services73 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.
125 services78 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
45 services45 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
31 services30 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.
31 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Allen

Acute Care Hospitals · Allen, TX
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number450840
Location1105 Central Expressway NorthAllen, TX 75013 · Collin County
Emergency services Birthing friendly

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

MARCIA L TAYLOR, MD, PA
Obstetrics & Gynecology
6124 W PARKER RD, STE 134
PLANO, TX 75093
Collin County (972) 981-7777
WEST PLANO SURGERY CENTER 2, LLC
Clinic/Center (Ambulatory Surgical)
6124 W PARKER RD, PRESBYTERIAN HOSPITAL # 232
PLANO, TX 75093
Collin County (469) 467-0100
PEDIATRIC ENDOCRINOLOGY OF NORTH TEXAS, PLLC
Clinic/Center (Medical Specialty)
6124 W PARKER RD, MEDICAL OFFICE BUILDING 3, SUITE #330
PLANO, TX 75093
Collin County (940) 600-4861
DR. VIJAY SITHARAM RAMANATH M.D.
Internal Medicine (Interventional Cardiology)
6124 W PARKER RD, SUITE 536
PLANO, TX 75093
Collin County (972) 378-9560
JOEL D CAMPBELL, M.D., P.A.
Psychiatry & Neurology (Neurology)
6124 W PARKER RD, SUITE 432
PLANO, TX 75093
Collin County (972) 403-3100
DR. MICHAEL BENDELE BLACKMON M.D.
Internal Medicine (Pulmonary Disease)
6124 W PARKER RD, SUITE 530
PLANO, TX 75093
Collin County (214) 778-1075
ARASH TIRANDAZ MD PA
Internal Medicine
6124 W PARKER RD, MOB III SUITE 234
PLANO, TX 75093
Collin County (972) 981-7500
LE N/A TCHEN P.A.
Physician Assistant
6124 W PARKER RD, #536
PLANO, TX 75093
Collin County (972) 943-8440

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 Robertshaw's NPI number?

The NPI number for Mark Robertshaw is 1396277265. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Mark Robertshaw located?

Mark Robertshaw practices at 6124 W Parker Rd Professional Office Building 3, Suite 530, Plano, TX 75093. The listed phone number is (214) 778-1075.

What is Mark Robertshaw's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mark Robertshaw enrolled in Medicare?

Yes. Mark Robertshaw 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 Robertshaw accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Mark Robertshaw 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 Robertshaw affiliated with any hospitals?

According to CMS data, Mark Robertshaw is affiliated with Texas Health Presbyterian Hospital Plano, Texas Health Presbyterian Hospital Allen and Texas Health Hospital Frisco.

When was this NPI record last updated?

The NPPES record for Mark Robertshaw was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.