MARK SHAPIRO M.D.
NPI 1720246309
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Morristown, NJ

Active since May 30, 2008PECOS EnrolledAccepts Medicare Assignment
98.67/100
CMS Quality Rating
100 MADISON AVE FL 4, CAROL G. SIMON CANCER CENTER SUITE 4101, MORRISTOWN, NJ 07960(973) 644-4844(973) 644-4776 Get Directions Write a Review

NPPES record last updated: August 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Shapiro M.d. NPPES

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

MARK SHAPIRO M.D. (NPI 1720246309) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Morristown, New Jersey, licensed in New Jersey (25MA09343600) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (2005).

NPPES Registry Identity

NPI1720246309
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameMARK SHAPIROCredential: M.D.
Location Address100 MADISON AVE FL 4, CAROL G. SIMON CANCER CENTER SUITE 4101Morristown, NJ 07960-6136
Mailing Address100 Madison Avenue 4th Floor, Carol G. Simon Cancer Center Suite 4101Morristown, NJ 07960 · (973) 644-4844 · Fax (973) 644-4776
Fax(973) 644-4776
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2005
Enumeration DateMay 30, 2008
Last NPPES UpdateAugust 14, 2015
NPI 1720246309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in NJ · 25MA09343600
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
100 MADISON AVE FL 4, Morristown, NJ 07960

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

Mark Shapiro M.d. 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 ID5395988927
PECOS Enrollment IDI20130830000177
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 15

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.
178 services125 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.
94 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
54 services48 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
47 services47 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 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.
43 services43 patients

Hospital Affiliations CMS Care Compare

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07960 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

98.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality93.57
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
72%138 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
83%909 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
32%366 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
90%373 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%353 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 452 patients
Patients screened: 96% · 452 patients
100%37 patients5/55-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.

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.

Nurse Practitioner (Family)
100 MADISON AVE FL 4
MORRISTOWN, NJ 07960
Thoracic Surgery (Cardiothoracic Vascular Surgery)
100 MADISON AVE FL 4, CAROL G. SIMON CANCER CENTER SUITE 4101
MORRISTOWN, NJ 07960

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 Shapiro's NPI number?

The NPI number for Mark Shapiro is 1720246309. It was assigned to this individual provider in the NPPES registry on May 30, 2008.

Where is Mark Shapiro located?

Mark Shapiro practices at 100 Madison Ave Fl 4 Carol G. Simon Cancer Center Suite 4101, Morristown, NJ 07960. The listed phone number is (973) 644-4844.

What is Mark Shapiro's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Mark Shapiro enrolled in Medicare?

Yes. Mark Shapiro 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.

Is Mark Shapiro affiliated with any hospitals?

According to CMS data, Mark Shapiro is affiliated with Valley Hospital.

When was this NPI record last updated?

The NPPES record for Mark Shapiro was last updated on August 14, 2015. 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.