1. Home
  2. Directory
  3. Nebraska
  4. Blair
  5. Emergency Medicine
  6. NPI Profile

DR. MARK EDWARD SHIRLEY D.O.
NPI 1578504528
Emergency Medicine in Blair, NE

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
810 N 22ND ST, BLAIR, NE 68008(402) 426-2182(402) 426-1190 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2018, Mar 17, 2018, Dec 6, 2017 (3 updates tracked since 2017).

About Dr. Mark Edward Shirley D.o. NPPES

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

DR. MARK EDWARD SHIRLEY D.O. (NPI 1578504528) is an individual emergency medicine provider in Blair, Nebraska, licensed in Nebraska (179) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Community Hospital & Health System, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (1994).

NPPES Registry Identity

NPI1578504528
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARK EDWARD SHIRLEYCredential: D.O.
Location Address810 N 22ND STBlair, NE 68008
Mailing Address810 N 22nd StBlair, NE 68008-1128 · (402) 426-2182 · Fax (402) 426-1190
Phone(402) 426-2182
Fax(402) 426-1190
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 1994
Enumeration DateJune 9, 2006
Last NPPES UpdateMay 23, 20183 updates tracked since enumeration
✔ NPI 1578504528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NE · 179
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.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 179 (NE)
810 N 22ND ST, Blair, NE 68008
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Dr. Mark Edward Shirley 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 ID8921092453
PECOS Enrollment IDI20040408001082, I20050204000319
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 3

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 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.
27 services27 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.
25 services25 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Memorial Community Hospital & Health System

Critical Access Hospitals · Blair, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281359
Location810 North 22nd StBlair, NE 68008 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68008 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.53 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.75 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 20

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

TONY TRAN CRNA
Nurse Anesthetist, Certified Registered
810 N 22ND ST
BLAIR, NE 68008
Washington County (402) 426-2182
JANICE C FITCHHORN
Occupational Therapist
810 N 22ND ST
BLAIR, NE 68008
Washington County (402) 426-1129
MEMORIAL COMMUNITY HOSPITAL CORPORATION
General Acute Care Hospital (Critical Access)
810 N 22ND ST
BLAIR, NE 68008
Washington County (402) 426-2182
SANTOSH KUMAR MD
Family Medicine
810 N 22ND ST
BLAIR, NE 68008
Washington County (402) 426-2182
ALLAN C MERIT CRNA
Nurse Anesthetist, Certified Registered
810 N 22ND ST
BLAIR, NE 68008
Washington County (402) 426-2182
JULIE MARIE KVASNICKA OTR/L
Occupational Therapist
810 N 22ND ST
BLAIR, NE 68008
Washington County (402) 426-1129
CAMERON J OURADA PA-C
Physician Assistant (Medical)
810 N 22ND ST
BLAIR, NE 68008
Washington County (402) 426-1629
JEREMY LEE
Emergency Medicine
810 N 22ND ST
BLAIR, NE 68008
Washington County (402) 426-2182

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 Shirley's NPI number?

The NPI number for Mark Shirley is 1578504528. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Mark Shirley located?

Mark Shirley practices at 810 N 22nd St, Blair, NE 68008. The listed phone number is (402) 426-2182.

What is Mark Shirley's specialty?

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

Is Mark Shirley enrolled in Medicare?

Yes. Mark Shirley 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 Shirley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Mark Shirley 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 Shirley affiliated with any hospitals?

According to CMS data, Mark Shirley is affiliated with Memorial Community Hospital & Health System.

When was this NPI record last updated?

The NPPES record for Mark Shirley was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.