MARK D HAGEDORN MD
NPI 1972617827
Emergency Medicine in Plainville, CT

Active since August 18, 2006PECOS Enrolled
240 EAST ST, PLAINVILLE, CT 06062(860) 747-4541(860) 793-1218 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mark D Hagedorn Md NPPES

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

MARK D HAGEDORN MD (NPI 1972617827) is an individual emergency medicine provider in Plainville, Connecticut, licensed in Connecticut (20000) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972617827
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARK D HAGEDORNCredential: MD
Location Address240 EAST STPlainville, CT 06062
Mailing Address240 East StPlainville, CT 06062 · (860) 747-4541 · Fax (860) 793-1218
Fax(860) 793-1218
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972617827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CT · 20000
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
240 EAST ST, Plainville, CT 06062

Other Identifiers 2

Medicare UPIND76984
Medicare ID-Type UnspecifiedC01397CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark D Hagedorn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mark Hagedorn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Connecticut enrollment
  • 167 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06062 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 7

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

Physical Therapist
240 EAST ST, SELECT PHYSICAL THERAPY
PLAINVILLE, CT 06062
Internal Medicine
240 EAST ST
PLAINVILLE, CT 06062
Clinic/Center (Urgent Care)
240 EAST ST
PLAINVILLE, CT 06062
Specialist
240 EAST ST
PLAINVILLE, CT 06062
Internal Medicine
240 EAST ST
PLAINVILLE, CT 06062
Clinic/Center (Urgent Care)
240 EAST ST
PLAINVILLE, CT 06062
Internal Medicine
240 EAST ST
PLAINVILLE, CT 06062

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 Hagedorn's NPI number?

The NPI number for Mark Hagedorn is 1972617827. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Mark Hagedorn located?

Mark Hagedorn practices at 240 East St, Plainville, CT 06062. The listed phone number is (860) 747-4541.

What is Mark Hagedorn's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Hagedorn enrolled in Medicare?

Yes. Mark Hagedorn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Hagedorn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Hagedorn reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Hagedorn'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 Hagedorn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.