MARK HACKER P.A.-C.
NPI 1861591836
Physician Assistant in Newark, OH

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
1320 WEST MAIN ST, NEWARK, OH 43055(220) 564-4151(220) 564-7153 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2023, Oct 22, 2018 (2 updates tracked since 2018).

About Mark Hacker P.a.-c. NPPES

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

MARK HACKER P.A.-C. (NPI 1861591836) is an individual physician assistant in Newark, Ohio, licensed in Ohio (50.002469) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1861591836
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK HACKERCredential: P.A.-C.
Location Address1320 WEST MAIN STNewark, OH 43055
Mailing Address1320 West Main StNewark, OH 43055 · (220) 564-4151 · Fax (220) 564-7153
Fax(220) 564-7153
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2009
Enumeration DateSeptember 22, 2006
Last NPPES UpdateMarch 24, 20232 updates tracked since enumeration
NPI 1861591836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in OH · 50.002469 Licensed in OH · 50002469RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 53306 (CA)
1320 WEST MAIN ST, Newark, OH 43055

Secondary Practice Location 1

Location 11320 W Main StNewark, OH 43055-1822 · Phone (220) 564-7153

Accepted 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

Mark Hacker P.a.-c. 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 ID1557410354
PECOS Enrollment IDI20090528000138
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 6

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.
152 services150 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
26 services26 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
25 services25 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
22 services22 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
11 services11 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Nurse Anesthetist, Certified Registered
1320 WEST MAIN ST
NEWARK, OH 43055
Pharmacist (Pharmacotherapy)
1320 WEST MAIN ST
NEWARK, OH 43055
Emergency Medicine
1320 WEST MAIN ST
NEWARK, OH 43055
Nurse Anesthetist, Certified Registered
1320 WEST MAIN ST
NEWARK, OH 43055
Emergency Medicine
1320 WEST MAIN ST
NEWARK, OH 43055
Anesthesiology
1320 WEST MAIN ST
NEWARK, OH 43055
Internal Medicine (Hematology & Oncology)
1320 WEST MAIN ST
NEWARK, OH 43055
Anesthesiology
1320 WEST MAIN ST
NEWARK, OH 43055

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 Hacker's NPI number?

The NPI number for Mark Hacker is 1861591836. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Mark Hacker located?

Mark Hacker practices at 1320 West Main St, Newark, OH 43055. The listed phone number is (220) 564-4151.

What is Mark Hacker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mark Hacker enrolled in Medicare?

Yes. Mark Hacker 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 Hacker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Mark Hacker 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 Hacker affiliated with any hospitals?

According to CMS data, Mark Hacker is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Mark Hacker was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.