DR. MARK MILLER SHULDBERG D.O.
NPI 1881905164
Pathology - Anatomic Pathology & Clinical Pathology in Saint Louis, MO
About Dr. Mark Miller Shuldberg D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK MILLER SHULDBERG D.O. (NPI 1881905164) is an individual anatomic pathology & clinical pathology provider in Saint Louis, Missouri, licensed in Missouri (2013010528) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Mark Miller Shuldberg D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mark Shuldberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63139
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
- 414 clinicians in this Medicare group
Alamosa, CO 81101
- Reassigned Medicare billing, Colorado enrollment
- 203 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 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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 Shuldberg's NPI number?
The NPI number for Mark Shuldberg is 1881905164. It was assigned to this individual provider in the NPPES registry on July 1, 2010.
Where is Mark Shuldberg located?
Mark Shuldberg practices at 3635 Vista Ave, Saint Louis, MO 63110. The listed phone number is (314) 577-8782.
What is Mark Shuldberg's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Mark Shuldberg enrolled in Medicare?
Yes. Mark Shuldberg 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 Shuldberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Shuldberg reassigns Medicare benefits to 2 organizations: Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO) and Lutheran Hospital Association Of The San Luis Valley (Alamosa, CO). 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 Shuldberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mark Shuldberg was last updated on May 2, 2016. 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.
# Dr. Mark Miller Shuldberg, D.O. · NPI 1881905164
Anatomic Pathology & Clinical Pathology physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since July 1, 2010.
## Identity
- **NPI:** 1881905164 (Entity type: Individual)
- **Enumerated:** July 1, 2010
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 2013010528 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3635 VISTA AVE, Saint Louis, MO 63110-2539
- **Phone:** (314) 577-8782
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ssm Cardinal Glennon Childrens Hospital (NPI 1073568226, Saint Louis, MO); Lutheran Hospital Association Of The San Luis Valley (NPI 1720269434, Alamosa, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** May 2, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1881905164) · Data from the CMS NPPES public registry.