1. Home
  2. Directory
  3. California
  4. San Diego
  5. Family Medicine
  6. NPI Profile

DR. MARK DAVID SHALAUTA M.D.
NPI 1902864358
Family Medicine in San Diego, CA

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
15004 INNOVATION DR, SAN DIEGO, CA 92128(858) 487-1800(858) 605-7106 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mark David Shalauta M.d. NPPES

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

DR. MARK DAVID SHALAUTA M.D. (NPI 1902864358) is an individual family medicine provider in San Diego, California, licensed in California (A61000) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1995).

NPPES Registry Identity

NPI1902864358
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK DAVID SHALAUTACredential: M.D.
Location Address15004 INNOVATION DRSan Diego, CA 92128-3491
Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (858) 605-7837 · Fax (858) 605-7106
Phone(858) 487-1800
Fax(858) 605-7106
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1995
Enumeration DateMay 3, 2006
Last NPPES UpdateDecember 30, 2019
✔ NPI 1902864358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A61000
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.

15004 INNOVATION DR, San Diego, CA 92128
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A610000CA

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 David Shalauta M.d. 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 ID9638173701
PECOS Enrollment IDI20060831000505
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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
118 services92 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
62 services62 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
60 services55 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
53 services47 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
39 services39 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92128 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

SCRIPPS CLINIC MEDICAL GROUP
Clinic/Center (Multi-Specialty)
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 487-1800
CAROLE S. RIEKER CCC-A
Audiologist
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7859
JANICE H. SHIGEHARA R.D., C.D.E.
Dietitian, Registered
15004 INNOVATION DR, ROOM 2126
SAN DIEGO, CA 92128
San Diego County (858) 554-8571
ADAM ELLIOT WHITMAN M.D.
Pediatrics
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7966
DR. DAVID H.E. CHU M.D.
Dermatology
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 487-1800
MR. ASHOK HOOVAYYA SURATKAL MHS (PT)
Physical Therapist
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 487-1800
LYNN M DONNELLY - SILL O. T.
Occupational Therapist
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 487-1800
BRAD JAMES NICOLL P.T.
Physical Therapist (Orthopedic)
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7189

Frequently Asked Questions

What is Mark Shalauta's NPI number?

The NPI number assigned to this healthcare provider is 1902864358, enumerated as an "individual" on May 03, 2006.

Where is the provider located?

The provider is located at 15004 INNOVATION DR SAN DIEGO, CA 92128 and the phone number is (858) 487-1800.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does Mark Shalauta accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.