MARK D BEJ MD NPI 1427040914
Psychiatry & Neurology - Neurology in Sheffield Village, OH

About MARK D BEJ MD

Mark Bej is a provider established in Sheffield Village, Ohio and his medical specialization is Psychiatry & Neurology with a focus in neurology with more than 36 years of experience. He graduated from Pennsylvania State University College Of Medicine in 1987. The NPI number of Mark Bej is 1427040914 and was assigned on August 2005. The practitioner's primary taxonomy code is 2084N0400X with license number 35063592 (OH). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1427040914
Provider Name MARK D BEJ MD
Location Address5319 HOAG DR SUITE 111 SHEFFIELD VILLAGE, OH 44035
Location Phone(440) 934-2272
Mailing AddressPO BOX 378 SANDUSKY, OH 44871
GenderMale
NPI Entity TypeIndividual
Medical School NamePENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year1987
Is Sole Proprietor?No
Enumeration Date08-19-2005
Last Update Date02-13-2014

Mark Bej is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Mark Bej is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with University Hospitals - Elyria Medical Center, Firelands Regional Medical Center, Mercy Regional Medical Center, Memorial Hospital and Fisher-titus Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.2, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.89 for a new patient copayment and $25.3 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code2084N0400X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationNeurology
License No.35063592
License StateOH
Taxonomy DescriptionA Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

MARK D BEJ MD
5319 HOAG DR
SUITE 111
SHEFFIELD VILLAGE, OH
ZIP 44035
Phone: (440) 934-2272

Get Directions


Mailing Address

MARK D BEJ MD
PO BOX 378
SANDUSKY, OH
ZIP 44871
Phone: (419) 609-1112
Fax: (419) 609-1123


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID8527956218
PECOS Enrollment IDI20040305000016
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 44035 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.74 $173.94 $131.59
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.18 $43.48 $32.89
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.31 $141.66 $101.2
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.32 $35.41 $25.3

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 84
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 97.2
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 40Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • 24Needle measurement and recording of electrical activity of muscles of arm or leg complete study (HCPCS:95886)
  • 21Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube (HCPCS:95811)
  • 18Measurement and recording of brain wave (EEG) activity, awake and asleep (HCPCS:95819)
  • 17Sleep monitoring of patient (6 years or older) in sleep lab (HCPCS:95810)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mark Bej is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER630 EAST RIVER STREET
ELYRIA, OH 44035
(440) 329-7500Acute Care Hospitals360145
FIRELANDS REGIONAL MEDICAL CENTER1111 HAYES AVENUE
SANDUSKY, OH 44870
(419) 557-7400Acute Care Hospitals360025
MERCY REGIONAL MEDICAL CENTER3700 KOLBE ROAD
LORAIN, OH 44053
(440) 960-4000Acute Care Hospitals360172
MEMORIAL HOSPITAL715 SOUTH TAFT AVENUE
FREMONT, OH 43420
(419) 334-6617Acute Care Hospitals360156
FISHER-TITUS HOSPITAL272 BENEDICT AVENUE
NORWALK, OH 44857
(419) 660-2970Acute Care Hospitals360065

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0957906MEDICAID (05)OH
4124593MEDICARE PIN (08)OH
F47367MEDICARE UPIN (02)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427040914
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
244704092
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 0 + 4 + 0 + 9 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1427040914 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679568760 JEFFREY D BAILEY CRNA
Individual
Nurse Anesthetist, Certified Registered5319 HOAG DR
SHEFFIELD VILLAGE, OH 44035
(440) 930-6050
1386602092DR. MARIO M SERTICH M.D.
Individual
Neurological Surgery5319 HOAG DR SUITE 100
SHEFFIELD VILLAGE, OH 44035
(440) 930-6015
1265480370DR. GALE A HAZEN M.D.
Individual
Neurological Surgery5319 HOAG DR SUITE 100
SHEFFIELD VILLAGE, OH 44035
(440) 930-6015
1194773242DR. PARSHOTAM C GUPTA M.D.
Individual
Pain Medicine (Pain Medicine)5319 HOAG DR SUITE 100
SHEFFIELD VILLAGE, OH 44035
(440) 930-6015
1144278284DR. DOMINGO GONZALEZ M.D.
Individual
Neurological Surgery5319 HOAG DR SUITE 100
SHEFFIELD VILLAGE, OH 44035
(440) 930-6015
1962690305DR. GUPTA, EYE M.D., LLC
Organization
Ophthalmology5319 HOAG DR SUTIE 260
SHEFFIELD VILLAGE, OH 44035
(440) 260-0404
1467763169PREMIUM DIAGNOSTICS CENTER LLC
Organization
Clinic/Center (Radiology)5319 HOAG DR
SHEFFIELD VILLAGE, OH 44035
(440) 930-6020
1427131812SPIRNAK RADIOLOGY SERVICES INC
Organization
Specialist5319 HOAG DR SUITE 130
SHEFFIELD VILLAGE, OH 44035
(440) 930-6045
1154391639 CHARLES I CHOI MD
Individual
Anesthesiology (Pain Medicine)5319 HOAG DR SUITE 100
SHEFFIELD VILLAGE, OH 44035
(440) 930-6015
1093045346DR. SUNJAY MATHUR M.D.
Individual
Physical Medicine & Rehabilitation (Pain Medicine)5319 HOAG DR SUITE 100
SHEFFIELD VILLAGE, OH 44035
(440) 930-6015
1427197474 JOSEPH P SPIRNAK M.D.
Individual
Radiology (Body Imaging)5319 HOAG DR SUITE 130
SHEFFIELD VILLAGE, OH 44035
(440) 930-6020
1588906192 ARTHUR J MYERS PA-C
Individual
Physician Assistant5319 HOAG DR SUITE 210A
SHEFFIELD VILLAGE, OH 44035
(440) 723-5685
1609846591 BRYAN T. DAVIS P.A.
Individual
Physician Assistant5319 HOAG DR SUITE 210 A
SHEFFIELD VILLAGE, OH 44035
(440) 723-5685
1346605003 REBECCA SUIT NP
Individual
Nurse Practitioner5319 HOAG DR SUITE 100
SHEFFIELD VILLAGE, OH 44035
(440) 930-6040
1023209244DR. JOANNE HOLIDAY M.D.
Individual
Pain Medicine (Interventional Pain Medicine)5319 HOAG DR SUITE 100
SHEFFIELD VILLAGE, OH 44035
(440) 930-6015
1588898548OHIO SURGICAL ANESTHESIA LLC
Organization
Anesthesiology5319 HOAG DR ROOM 1
SHEFFIELD VILLAGE, OH 44035
(855) 600-5161
1902866148 KATHY A DALZELL C.N.P.
Individual
Nurse Practitioner5319 HOAG DR STE 100
SHEFFIELD VILLAGE, OH 44035
(440) 930-6040
1740267244DR. SANJAY KUMAR D.O.
Individual
Pain Medicine (Interventional Pain Medicine)5319 HOAG DR SUITE 100
SHEFFIELD VILLAGE, OH 44035
(440) 930-6015
1962639013NORTHERN OHIO MEDICAL SPECIALISTS,LLC
Organization
Durable Medical Equipment & Medical Supplies5319 HOAG DR SUITE 210A
SHEFFIELD VILLAGE, OH 44035
(440) 723-5685
1376565648 REBECCA CHRISTINE DOUBLER MD
Individual
Anesthesiology5319 HOAG DR
SHEFFIELD VILLAGE, OH 44035
(440) 930-6050

Frequently Asked Questions

What is Mark Bej MD NPI number?

The NPI number assigned to Mark Bej MD is 1427040914, registered as an "individual" on August 19, 2005

Where is Mark Bej MD located?

The provider is located at 5319 Hoag Dr Suite 111 Sheffield Village, Oh 44035 and the phone number is (440) 934-2272

Which is Mark Bej MD specialty?

The provider's speciality is Psychiatry & Neurology with a focus in Neurology

How many years of experience does Mark Bej MD have?

The provider has more than 36 years of experience. He graduated from Pennsylvania State University College Of Medicine in 1987.

What insurance does Mark Bej MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Mark Bej MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Mark Bej MD?

Medicare beneficiaries should expect a typical cost of $131.59 with an average copayment of $32.89 for new patient appointments. Established patients should expect a typical charge of $101.2 and an average copayment of 25.3. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Mark Bej MD?

The most common procedures or services performed by this practitioner are: Injection, dexamethasone sodium phosphate, 1mg, Needle measurement and recording of electrical activity of muscles of arm or leg complete study, Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube, Measurement and recording of brain wave (EEG) activity, awake and asleep and Sleep monitoring of patient (6 years or older) in sleep lab.

Is Mark Bej MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER, FIRELANDS REGIONAL MEDICAL CENTER, MERCY REGIONAL MEDICAL CENTER, MEMORIAL HOSPITAL and FISHER-TITUS HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Mark Bej MD was last updated on August 19, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]