DR. MARK S PELIKAN D.O.
NPI 1891769253
Family Medicine in Hazelwood, MO

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
637 DUNN RD STE 170, HAZELWOOD, MO 63042(314) 838-5702(314) 839-5596 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark S Pelikan D.o. NPPES

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

DR. MARK S PELIKAN D.O. (NPI 1891769253) is an individual family medicine provider in Hazelwood, Missouri, licensed in Missouri (2001009342) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and maintains a secondary practice location in Saint Charles.

NPPES Registry Identity

NPI1891769253
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK S PELIKANCredential: D.O.
Location Address637 DUNN RD STE 170Hazelwood, MO 63042-1759
Mailing AddressPo Box 23340Saint Louis, MO 63156-3340 · (314) 838-5702 · Fax (314) 839-5596
Fax(314) 839-5596
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1999
Enumeration DateFebruary 14, 2006
Last NPPES UpdateFebruary 8, 2019
NPI 1891769253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · 2001009342
Definition
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.
637 DUNN RD STE 170, Hazelwood, MO 63042

Secondary Practice Location 1

Location 11551 Wall St Ste 400Saint Charles, MO 63303-3541 · Phone (314) 838-5702

Other Identifiers 1

OtherP00090948MO · Railroad Medicare

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

Dr. Mark S Pelikan 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.

PECOS PAC ID5799815478
PECOS Enrollment IDI20100607000118
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 14

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
140 services62 patients
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.
132 services67 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.
111 services62 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
80 services56 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
77 services53 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
41 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63042 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
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.

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%74 patients5/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%33 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers14 claims52 services$6.61 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$22.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$69.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Internal Medicine
637 DUNN RD STE 170
HAZELWOOD, MO 63042
Dietitian, Registered
637 DUNN RD STE 170
HAZELWOOD, MO 63042
Internal Medicine
637 DUNN RD STE 170
HAZELWOOD, MO 63042
Internal Medicine
637 DUNN RD STE 170
HAZELWOOD, MO 63042
Internal Medicine
637 DUNN RD STE 170
HAZELWOOD, MO 63042
Nurse Practitioner
637 DUNN RD STE 170
HAZELWOOD, MO 63042
Internal Medicine
637 DUNN RD STE 170
HAZELWOOD, MO 63042
Internal Medicine
637 DUNN RD STE 170
HAZELWOOD, MO 63042

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 Pelikan's NPI number?

The NPI number for Mark Pelikan is 1891769253. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Mark Pelikan located?

Mark Pelikan practices at 637 Dunn Rd Ste 170, Hazelwood, MO 63042. The listed phone number is (314) 838-5702.

What is Mark Pelikan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Pelikan enrolled in Medicare?

Yes. Mark Pelikan 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 Pelikan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Mark Pelikan 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 Pelikan affiliated with any hospitals?

According to CMS data, Mark Pelikan is affiliated with Mercy Hospital St Louis and Ssm Health Depaul Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Mark Pelikan was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.