MR. MARK ANDREW SALDANA P.A.-C.
NPI 1528137833
Physician Assistant - Medical in Lufkin, TX

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
1111 W FRANK AVE STE 100, LUFKIN, TX 75904(936) 639-2244(936) 639-2420 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Mark Andrew Saldana P.a.-c. NPPES

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

MR. MARK ANDREW SALDANA P.A.-C. (NPI 1528137833) is an individual medical provider in Lufkin, Texas, licensed in Texas (PA00796) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Nacogdoches Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1528137833
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MARK ANDREW SALDANACredential: P.A.-C.
Location Address1111 W FRANK AVE STE 100Lufkin, TX 75904-3390
Mailing Address1521 Azalea DrLufkin, TX 75904-5321 · (936) 829-4749 · Fax (936) 829-5950
Fax(936) 639-2420
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateNovember 8, 2006
Last NPPES UpdateMay 29, 2019
✔ NPI 1528137833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA00796
1111 W FRANK AVE STE 100, Lufkin, TX 75904

Accepted 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

Mr. Mark Andrew Saldana P.a.-c. 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 ID7810155819
PECOS Enrollment IDI20120222000497
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
342 services188 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients

Hospital Affiliations CMS Care Compare

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

Nacogdoches Medical Center

Acute Care Hospitals · Nacogdoches, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450656
Location4920 NE Stallings DriveNacogdoches, TX 75965 · Nacogdoches County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
89%220 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 20

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers28 claims52 services$1.79 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers11 claims11 services$74.48 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers11 claims11 services$20.76 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers12 claims12 services$20.15 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers28 claims116 services$2.99 avg. paid by Medicare
Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4149
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims4,466 services$1.16 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 8

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

Internal Medicine
1111 W FRANK AVE STE 100
LUFKIN, TX 75904
Nurse Practitioner (Family)
1111 W FRANK AVE STE 100
LUFKIN, TX 75904
Internal Medicine
1111 W FRANK AVE STE 100
LUFKIN, TX 75904
Internal Medicine
1111 W FRANK AVE STE 100
LUFKIN, TX 75904
Internal Medicine
1111 W FRANK AVE STE 100
LUFKIN, TX 75904
Internal Medicine
1111 W FRANK AVE STE 100
LUFKIN, TX 75904
Internal Medicine
1111 W FRANK AVE STE 100
LUFKIN, TX 75904
Nurse Practitioner (Family)
1111 W FRANK AVE STE 100
LUFKIN, TX 75904

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 Saldana's NPI number?

The NPI number for Mark Saldana is 1528137833. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Mark Saldana located?

Mark Saldana practices at 1111 W Frank Ave Ste 100, Lufkin, TX 75904. The listed phone number is (936) 639-2244.

What is Mark Saldana's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mark Saldana enrolled in Medicare?

Yes. Mark Saldana 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 Saldana accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., UnitedHealthcare and WellPoint list Mark Saldana 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 Saldana affiliated with any hospitals?

According to CMS data, Mark Saldana is affiliated with Nacogdoches Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Saldana was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.