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DR. MARK JAMES MEHAFFEY M.D.
NPI 1437171287
Emergency Medicine in Houston, TX

Active since July 24, 2006PECOS Enrolled
6720 BERTNER ST, HOUSTON, TX 77030(832) 355-2121 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Mark James Mehaffey M.d. NPPES

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

DR. MARK JAMES MEHAFFEY M.D. (NPI 1437171287) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (K5046) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437171287
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARK JAMES MEHAFFEYCredential: M.D.
Location Address6720 BERTNER STHouston, TX 77030-2604
Mailing Address7314 Main StHouston, TX 77030-3710 · (713) 530-6947
Phone(832) 355-2121
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 2, 2020
NPPES CertifiedJuly 2, 2020
✔ NPI 1437171287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · K5046
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
6720 BERTNER ST, Houston, TX 77030
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Other Identifiers 5

Medicaid1722561LA
Other096429809TX · Cshcn Tpi
Medicaid165601901TX
Other89134YTX · Bcbs
Medicaid096429808TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark James Mehaffey M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Mark Mehaffey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Referral Service
0.1 mi
Multi-Specialty
1515 HOLCOMBE BLVD
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,675 clinicians in this Medicare group
NPI 1073574810 (713) 792-6161
Integrative Emergency Services Physician Group-Houston PLLC
15 mi
Emergency Medicine
4500 E SAM HOUSTON PKWY S
Pasadena, TX 77505
  • Reassigned Medicare billing, Texas enrollment
  • 644 clinicians in this Medicare group
NPI 1801458708 (713) 948-7000

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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
52 services50 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

DR. AMY WOEHRMANN M.D.
Emergency Medicine
6720 BERTNER ST
HOUSTON, TX 77030
Harris County (832) 355-2121
DR. JERRY JONES M.D.
Emergency Medicine
6720 BERTNER ST
HOUSTON, TX 77030
Harris County (832) 355-2121
DR. KENNETH M DIREKLY M.D.
Emergency Medicine
6720 BERTNER ST
HOUSTON, TX 77030
Harris County (832) 355-2121
MR. JOSHUA DAVID KLUESNER OTR
Occupational Therapist
6720 BERTNER ST
HOUSTON, TX 77030
Harris County (832) 355-6281
TEXAS HOSPITALIST GROUP LLC
Internal Medicine
6720 BERTNER ST
HOUSTON, TX 77030
Harris County (713) 850-1190
DR. ROBERT THOMAS SOLIS M.D.
Internal Medicine (Pulmonary Disease)
6720 BERTNER ST
HOUSTON, TX 77030
Harris County (832) 355-2660
SOUTHWEST IMAGING ASSOCIATES, PA
Radiology (Diagnostic Radiology)
6720 BERTNER ST
HOUSTON, TX 77030
Harris County (713) 785-8537
DR. JAMES M. ANTON M.D.
Anesthesiology
6720 BERTNER ST, SUITE O-520
HOUSTON, TX 77030
Harris County (832) 355-2202

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 Mehaffey's NPI number?

The NPI number for Mark Mehaffey is 1437171287. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Mark Mehaffey located?

Mark Mehaffey practices at 6720 Bertner St, Houston, TX 77030. The listed phone number is (832) 355-2121.

What is Mark Mehaffey's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Mehaffey enrolled in Medicare?

Yes. Mark Mehaffey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Mehaffey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Mehaffey reassigns Medicare benefits to 2 organizations: Physicians Referral Service (Houston, TX) and Integrative Emergency Services Physician Group-Houston PLLC (Pasadena, TX). 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 Mehaffey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Mehaffey accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Mark Mehaffey 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 Mehaffey was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.