MARK HARDIN DO NPI 1770544777
Family Medicine in Macclenny, FL
About MARK HARDIN DO
Mark Hardin is a primary care provider established in Macclenny, Florida and his medical specialization is Family Medicine with more than 39 years of experience. He graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1985. The healthcare provider is registered in the NPI registry with number 1770544777 assigned on March 2006. The practitioner's primary taxonomy code is 207Q00000X with license number OS 5218 (FL). The provider is registered as an individual and his NPI record was last updated 16 years ago.
| NPI | 1770544777 |
| Provider Name | MARK HARDIN DO |
| Location Address | 159 N 3RD ST MACCLENNY, FL 32063 |
| Location Phone | (904) 259-7815 |
| Mailing Address | PO BOX 637 ORANGE PARK, FL 32067 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1985 |
| Is Sole Proprietor? | No |
| Enumeration Date | 03-29-2006 |
| Last Update Date | 10-31-2007 |
A primary care provider (PCP) like Mark Hardin sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Mark Hardin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Mark Hardin is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Ed Fraser Memorial Hospital and Ascension St Vincent's Riverside.
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.56 for a new patient copayment and $25.94 for an established patient copayment.
Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207Q00000X |
| Classification | Family Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | OS 5218 |
| License State | FL |
| Taxonomy Description | 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
159 N 3RD ST
MACCLENNY, FL
ZIP 32063
Phone: (904) 259-7815
Mailing Address
PO BOX 637
ORANGE PARK, FL
ZIP 32067
Phone: (904) 388-3351
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 7517911647 |
| PECOS Enrollment ID | I20101021000066 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 32063 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $58.4 | $178.79 | $90.24 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.6 | $44.69 | $22.56 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.74 | $145.28 | $103.76 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.43 | $36.32 | $25.94 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 57Urinalysis, manual test (HCPCS:81002)
- 42Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- 27Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
- 19Administration of influenza virus vaccine (HCPCS:G0008)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mark Hardin is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| ED FRASER MEMORIAL HOSPITAL | 159 N 3RD ST MACCLENNY, FL 32063 | (904) 259-3151 | Acute Care Hospitals | 100134 | |
| ASCENSION ST VINCENT'S RIVERSIDE | 1 SHIRCLIFF WAY JACKSONVILLE, FL 32204 | (904) 308-7300 | Acute Care Hospitals | 100040 |
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 82955X | MEDICARE PIN (08) |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 5 | 4 | 4 | 7 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 10 | 4 | 8 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 0 + 4 + 8 + 7 + 1 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1770544777 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194787671 | COMP MED INC. Organization | Family Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-7185 |
| 1184682049 | DR. AHMED YOUSIF ABDELMAGID M.D. Individual | Emergency Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1467401380 | CRANE EMERGENCY PHYSICIANS Organization | Emergency Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1245283357 | DR. DENNIS PETER SORRESSO M.D. Individual | Internal Medicine (Sleep Medicine) | 159 N 3RD ST MACCLENNY, FL 32063 (904) 465-3183 |
| 1952322125 | DR. PAUL JARCZYK MD Individual | Emergency Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1003009291 | BAKER COMMUNITY MEDICAL PRACTICE INC Organization | Clinic/Center | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1366628679 | JOHN J COLEMAN DPM Organization | Podiatrist | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-5277 |
| 1619137874 | BAKER EMERGENCY GROUP LLC Organization | Emergency Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1346494556 | PETER C. JANSEN MD Organization | Family Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-7815 |
| 1174761613 | BAKER COUNTY HOSPITAL AUTHORITY Organization | Skilled Nursing Facility | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1255630554 | WESTLAKE EMERGENCY MEDICAL ASSOCIATES & CONSULTANTS, LLC Organization | Emergency Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1922026061 | DR. PATRICIA F WHITE DO Individual | Emergency Medicine | 159 N 3RD ST ED FRASER MEMORIAL HOSPITAL MACCLENNY, FL 32063 (904) 259-3151 |
| 1922372788 | KYLE MONROE KNABB DO Individual | Internal Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-7815 |
| 1730287152 | DR. PATRICIA A. JONES MD Individual | Family Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-7815 |
| 1831594977 | BAKER COUNTY MEDICAL SERVICES INC. Organization | Skilled Nursing Facility | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1023423829 | MARCHETA CREWS ARNP Individual | Nurse Practitioner (Family) | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1902257223 | KERIE-ANN LAWRENCE ARNP Individual | Nurse Practitioner (Women's Health) | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1992753016 | JOSEPH JULIAN LOPEZ MD Individual | Internal Medicine (Gastroenterology) | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1043755069 | LINDA LOUISE HEILMAN ARNP Individual | Nurse Practitioner (Family) | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1457315756 | DR. JOHN JOSEPH COLEMAN DPM Individual | Podiatrist | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-5277 |
Frequently Asked Questions
What is Mark Hardin DO NPI number?
The NPI number assigned to this healthcare provider is 1770544777, enumerated in the NPI registry as an "individual" on March 29, 2006
Where is the provider located?
The provider is located at 159 N 3rd St Macclenny, Fl 32063 and the phone number is (904) 259-7815
What is the provider specialty code?
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
How many years of experience does Mark Hardin DO have?
The provider has more than 39 years of experience. He graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1985.
What insurance does Mark Hardin DO accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Mark Hardin DO registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Mark Hardin DO?
Medicare beneficiaries should expect a typical cost of $90.24 with an average copayment of $22.56 for new patient appointments. Established patients should expect a typical charge of $103.76 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Mark Hardin DO?
The most common procedures or services performed by this practitioner are: Urinalysis, manual test, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Injection beneath the skin or into muscle for therapy, diagnosis, or prevention and Administration of influenza virus vaccine.
Is Mark Hardin DO affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: ED FRASER MEMORIAL HOSPITAL and ASCENSION ST VINCENT'S RIVERSIDE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
This NPI record was last updated on March 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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