MARK SHEEHAN DPM
NPI 1831628627
Podiatrist - Foot & Ankle Surgery in Franklin Lakes, NJ

Active since June 06, 2017PECOS EnrolledAccepts Medicare Assignment
784 FRANKLIN AVE, FRANKLIN LAKES, NJ 07417(844) 777-0910 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 18, 2021, Jun 6, 2017 (2 updates tracked since 2017).

About Mark Sheehan Dpm NPPES

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

MARK SHEEHAN DPM (NPI 1831628627) is an individual foot & ankle surgery provider in Franklin Lakes, New Jersey, licensed in New Jersey (25MD00355100) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1831628627
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameMARK SHEEHANCredential: DPM
Location Address784 FRANKLIN AVEFranklin Lakes, NJ 07417-1306
Mailing Address784 Franklin AveFranklin Lakes, NJ 07417-1306 · (844) 777-0910 · Fax (201) 560-0711
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 6, 2017
Last NPPES UpdateMay 18, 20212 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1831628627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NJ · 25MD00355100
Also ListedPodiatristTaxonomy 213E00000X · License 25MD00355100 (NJ)
784 FRANKLIN AVE, Franklin Lakes, NJ 07417

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Sheehan Dpm 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 ID9830513548
PECOS Enrollment IDI20231207003373
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mark Sheehan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
784 FRANKLIN AVE STE 250
Franklin Lakes, NJ 07417
  • Reassigned Medicare billing, New Jersey enrollment
  • 69 clinicians in this Medicare group
Orthopaedic Surgery
11 HOLT DR
Stony Point, NY 10980
  • Reassigned Medicare billing, New York enrollment
  • 26 clinicians in this Medicare group
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

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.
177 services177 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
163 services97 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
62 services52 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
29 services20 patients

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.

Orthopaedic Surgery
784 FRANKLIN AVE, SUITE 250
FRANKLIN LAKES, NJ 07417
Orthopaedic Surgery (Sports Medicine)
784 FRANKLIN AVE, SUITE 250
FRANKLIN LAKES, NJ 07417
Prosthetic/Orthotic Supplier
784 FRANKLIN AVE, SUITE 110
FRANKLIN LAKES, NJ 07417
Pain Medicine (Interventional Pain Medicine)
784 FRANKLIN AVE, SUITE 250
FRANKLIN LAKES, NJ 07417
Pediatrics
784 FRANKLIN AVE
FRANKLIN LAKES, NJ 07417
Internal Medicine (Rheumatology)
784 FRANKLIN AVE, STE 250
FRANKLIN LAKES, NJ 07417
Clinic/Center (Magnetic Resonance Imaging (MRI))
784 FRANKLIN AVE, FRANKLIN LAKES MEDICAL IMAGING SUITE 120
FRANKLIN LAKES, NJ 07417
Chiropractor
784 FRANKLIN AVE, SUITE 230
FRANKLIN LAKES, NJ 07417

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 Sheehan's NPI number?

The NPI number for Mark Sheehan is 1831628627. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Mark Sheehan located?

Mark Sheehan practices at 784 Franklin Ave, Franklin Lakes, NJ 07417. The listed phone number is (844) 777-0910.

What is Mark Sheehan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Mark Sheehan enrolled in Medicare?

Yes. Mark Sheehan 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.

Which organizations bill Medicare for Mark Sheehan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Sheehan reassigns Medicare benefits to 3 organizations: Kayal Medical Group, LLC (Franklin Lakes, NJ), Kayal Orthopaedic, PLLC (Stony Point, NY) and Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Sheehan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Sheehan accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Health list Mark Sheehan 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 Sheehan was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.