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MARK MORTENSON DMD
NPI 1811228307
Dentist - General Practice in Shepherdsville, KY

Active since January 22, 2010PECOS Enrolled
1746 HIGHWAY 44 E, SHEPHERDSVILLE, KY 40165(502) 543-2278(502) 531-9303 Get Directions Write a Review

NPPES record last updated: September 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Mortenson Dmd NPPES

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

MARK MORTENSON DMD (NPI 1811228307) is an individual general practice provider in Shepherdsville, Kentucky, licensed in Kentucky (8834) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811228307
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMARK MORTENSONCredential: DMD
Location Address1746 HIGHWAY 44 EShepherdsville, KY 40165-6131
Mailing AddressPo Box 437169Louisville, KY 40253-7169 · (502) 254-8501 · Fax (502) 805-1957
Phone(502) 543-2278
Fax(502) 531-9303
Sole ProprietorYes
Enumeration DateJanuary 22, 2010
Last NPPES UpdateSeptember 25, 2013
✔ NPI 1811228307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 8834
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 8834 (KY)
1746 HIGHWAY 44 E, Shepherdsville, KY 40165
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Other Identifiers 1

Medicaid7100139450KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, 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 (PECOS)

Mark Mortenson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40165 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 4

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

ENGILMAN ORTHODONTICS-SHEPHERDSVILLE, PLLC
Clinic/Center (Dental)
1746 HIGHWAY 44 E
SHEPHERDSVILLE, KY 40165
Bullitt County (502) 531-9339
DR. JERA REDMAN-OWENS DMD
Dentist
1746 HIGHWAY 44 E
SHEPHERDSVILLE, KY 40165
Bullitt County (502) 955-7102
MORTENSON FAMILY DENTAL
Clinic/Center (Dental)
1746 HIGHWAY 44 E
SHEPHERDSVILLE, KY 40165
Bullitt County (502) 955-7102
PHILLIP SCHULER DMD
Dentist (General Practice)
1746 HIGHWAY 44 E
SHEPHERDSVILLE, KY 40165
Bullitt County (502) 955-7102

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 Mortenson's NPI number?

The NPI number for Mark Mortenson is 1811228307. It was assigned to this individual provider in the NPPES registry on January 22, 2010.

Where is Mark Mortenson located?

Mark Mortenson practices at 1746 Highway 44 E, Shepherdsville, KY 40165. The listed phone number is (502) 543-2278.

What is Mark Mortenson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Mortenson enrolled in Medicare?

Yes. Mark Mortenson is registered in the Medicare PECOS enrollment system.

What insurance does Mark Mortenson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Montana and 7 other insurers list Mark Mortenson 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.

When was this NPI record last updated?

The NPPES record for Mark Mortenson was last updated on September 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.