DR. MARK JOSEPH HENZES MD
NPI 1457351488
Emergency Medicine in Pittsburgh, PA

Active since August 01, 2005PECOS EnrolledAccepts Medicare Assignment
100 S JACKSON AVE, AGH SUBURBAN CAMPUS, PITTSBURGH, PA 15202(412) 734-6100(412) 734-6932 Get Directions Write a Review

NPPES record last updated: April 23, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Mark Joseph Henzes Md NPPES

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

DR. MARK JOSEPH HENZES MD (NPI 1457351488) is an individual emergency medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD039291) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Harrison Community Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1457351488
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARK JOSEPH HENZESCredential: MD
Location Address100 S JACKSON AVE, AGH SUBURBAN CAMPUSPittsburgh, PA 15202
Mailing Address320 E North Ave, Agh Emergency AssocsPittsburgh, PA 15212 · (412) 359-4138 · Fax (412) 359-8874
Fax(412) 734-6932
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateAugust 1, 2005
Last NPPES UpdateApril 23, 2008
✔ NPI 1457351488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD039291
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.
100 S JACKSON AVE, Pittsburgh, PA 15202

Other Identifiers 8

Medicare PINP00405157PA
Medicare PIN145115NJRPA
Medicaid0134018OH
Medicaid0054951000WV
Medicare UPINB39645PA
Medicaid0010739500014PA
Medicare PIN787265
Medicare PIN787264

Accepted 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

Dr. Mark Joseph Henzes Md 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 ID547228561
PECOS Enrollment IDI20041222000347
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

8

Medicare enrollment records show Mark Henzes reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
339 6TH AVE, 5TH FLOOR
Pittsburgh, PA 15222
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Family Medicine
200 W MAIN ST
Ligonier, PA 15658
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 771 clinicians in this Medicare group
Critical Access
951 E MARKET ST
Cadiz, OH 43907
  • Reassigned Medicare billing, Ohio enrollment
  • 57 clinicians in this Medicare group
Emergency Medicine
600 SOMERSET AVE
Windber, PA 15963
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 53 clinicians in this Medicare group
Emergency Medicine
100 HOSPITAL AVE
Du Bois, PA 15801
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 168 clinicians in this Medicare group
Rural Health
365 WARD DR
Claysburg, PA 16625
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 112 clinicians in this Medicare group
Family Medicine
417 SABBATH REST RD STE 3
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Tyrone Hospital
  • 129 clinicians in this Medicare group
Critical Access
214 PEACH ORCHARD RD
Mc Connellsburg, PA 17233
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 80 clinicians in this Medicare group

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 5

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 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.
116 services109 patients
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.
105 services99 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
46 services42 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 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.
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.

Harrison Community Hospital

Critical Access Hospitals · Cadiz, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361311
Location951 East Market StreetCadiz, OH 43907 · Harrison County
Emergency services

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15202 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Physical Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202
Occupational Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202
Occupational Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202
Internal Medicine (Critical Care Medicine)
100 S JACKSON AVE, 3RD FLOOR
PITTSBURGH, PA 15202
Physical Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202
Physical Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202
Physician Assistant (Medical)
100 S JACKSON AVE
PITTSBURGH, PA 15202
Occupational Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202

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 Henzes's NPI number?

The NPI number for Mark Henzes is 1457351488. It was assigned to this individual provider in the NPPES registry on August 1, 2005.

Where is Mark Henzes located?

Mark Henzes practices at 100 S Jackson Ave Agh Suburban Campus, Pittsburgh, PA 15202. The listed phone number is (412) 734-6100.

What is Mark Henzes's specialty?

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

Is Mark Henzes enrolled in Medicare?

Yes. Mark Henzes 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 organizations bill Medicare for Mark Henzes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Henzes reassigns Medicare benefits to 8 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA), Dlp Conemaugh Physician Practices LLC (Ligonier, PA), Harrison Community Hospital, Inc. (Cadiz, OH), Windber Hospital, Inc. (Windber, PA), Dubois Regional Medical Center (Du Bois, PA) and 3 more organizations, listed in the Medicare section above. 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 Henzes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Henzes accept?

Health plans from Peak Health Insurance list Mark Henzes 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 Henzes affiliated with any hospitals?

According to CMS data, Mark Henzes is affiliated with Harrison Community Hospital and Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Mark Henzes was last updated on April 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.