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MARK JAMES ELDER D.O.
NPI 1477559409
Family Medicine in Jay, FL

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment
3887 SCOTTS PLAZA DR, JAY, FL 32565(850) 981-0320(850) 981-0911 Get Directions Write a Review

NPPES record last updated: May 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark James Elder D.o. NPPES

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

MARK JAMES ELDER D.O. (NPI 1477559409) is an individual family medicine provider in Jay, Florida, licensed in Florida (OS8505) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1993).

NPPES Registry Identity

NPI1477559409
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK JAMES ELDERCredential: D.O.
Location Address3887 SCOTTS PLAZA DRJay, FL 32565-4001
Mailing Address3887 Scotts Plaza DrJay, FL 32565-4001 · (850) 981-0320 · Fax (850) 981-0911
Phone(850) 981-0320
Fax(850) 981-0911
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1993
Enumeration DateJune 23, 2005
Last NPPES UpdateMay 4, 2016
✔ NPI 1477559409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS8505
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3887 SCOTTS PLAZA DR, Jay, FL 32565
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Other Identifiers 7

Other263360638FL · Tax Id
Other05247FL · Blue Cross Florida
Other590-48269AL · Bcbs
Medicare UPINF92324
OtherHS620AFL · Medicare Group Ptan
Medicare PIN05247XFL
Medicaid262643800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama and more.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

Mark James Elder D.o. 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 ID4981775160
PECOS Enrollment IDI20080616000337
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 Elder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jay Hospital, Inc.
0.1 mi
Emergency Medicine
14114 ALABAMA ST
Jay, FL 32565
  • Reassigned Medicare billing, Florida enrollment
  • 22 clinicians in this Medicare group
NPI 1518071562 (850) 675-8015
Panhandle Rural Health Incorporated
0.1 mi
Rural Health
14088 ALABAMA ST
Jay, FL 32565
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1255398228 (850) 675-4546

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 7

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.

Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
109 services27 patients
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.
26 services15 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.
23 services23 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.
21 services18 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services15 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Santa Rosa Medical Center

Acute Care Hospitals · Milton, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100124
Location6002 Berryhill RdMilton, FL 32570 · Santa Rosa County
Emergency services Birthing friendly

Jay Hospital

Critical Access Hospitals · Jay, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101315
Location14114 Alabama StJay, FL 32565 · Santa Rosa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32565 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers27 claims92 services$6.60 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier26 claims26 services$20.10 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$4.35 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers27 claims28 services$9.03 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier14 claims5,573 services$0.70 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier12 claims12 services$68.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK J ELDER DO PA
Family Medicine
3887 SCOTTS PLAZA DR
JAY, FL 32565
Santa Rosa County (850) 981-0320
MATTHEW BROWN PA-C
Physician Assistant (Medical)
3887 SCOTTS PLAZA DR
JAY, FL 32565
Santa Rosa County (850) 675-0320

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 Elder's NPI number?

The NPI number for Mark Elder is 1477559409. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Mark Elder located?

Mark Elder practices at 3887 Scotts Plaza Dr, Jay, FL 32565. The listed phone number is (850) 981-0320.

What is Mark Elder's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Elder enrolled in Medicare?

Yes. Mark Elder 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 Elder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Elder reassigns Medicare benefits to 2 organizations: Jay Hospital, Inc. (Jay, FL) and Panhandle Rural Health Incorporated (Jay, FL). 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 Elder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Elder accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Mark Elder 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 Elder affiliated with any hospitals?

According to CMS data, Mark Elder is affiliated with Sacred Heart Hospital, Santa Rosa Medical Center and Jay Hospital.

When was this NPI record last updated?

The NPPES record for Mark Elder was last updated on May 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.