Dr. Mark Smith , MD
Emergency Medicine โข Sandusky, OH
420 Superior St
Sandusky, OH 448701849
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on November 2, 2006; this date does not establish years in practice.
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Published CMS data list 232 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- 99285 โ Emergency department visit with high level of medical decision making: 159 service units.
- 99284 โ Emergency department visit with moderate level of medical decision making: 51 service units.
- 99283 โ Emergency department visit with low level of medical decision making: 22 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 12 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Ondansetron Odt (Ondansetron) โ 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 95% of clinicians listed under Emergency Medicine in Sandusky, OH (2024, 14 clinicians with data). Median for this group: 118. Middle half: 38 to 170.
Fewer Part D prescriptions than 95% of clinicians listed under Emergency Medicine in Ohio (2024, 1,764 clinicians with data). Median for this group: 96. Middle half: 42 to 175.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 336 in 2018 to 232 in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018โ2022.
Practice Location & Contact Primary Location
420 Superior St
Sandusky, OH 448701849
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Emergency Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $35,689 in 2022
The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022.
Paid by Medicare
About $29,161 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022.
30-day fills
12 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$112 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019โ2025.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Smith as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Sandusky and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 95% of clinicians listed under Emergency Medicine in Sandusky, OH (2024, 14 clinicians with data). Median for this group: 118. Middle half: 38 to 170.
Fewer Part D prescriptions than 95% of clinicians listed under Emergency Medicine in Ohio (2024, 1,764 clinicians with data). Median for this group: 96. Middle half: 42 to 175.
Part D drug cost
A lower Part D drug cost than 80% of clinicians listed under Emergency Medicine in Sandusky, OH (2024, 14 clinicians with data). Median for this group: $479. Middle half: $125 to $730.
A lower Part D drug cost than 85% of clinicians listed under Emergency Medicine in Ohio (2024, 1,764 clinicians with data). Median for this group: $536. Middle half: $229 to $1,099.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Smith are from 2022.
15 active clinicians are listed under Emergency Medicine with a practice address in Sandusky, OH (3,004 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Sandusky
0% of these 15 clinicians have the CMS telehealth indicator.
53.3% of these 15 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 31% from 336 in 2018 to 232 in 2022.
- 2018: 336
- 2019: 326
- 2020: 258
- 2021: 278
- 2022: 232
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Medicare-allowed amount
Medicare-allowed amount decreased 28% from $49,585 in 2018 to $35,689 in 2022.
- 2018: $49,585
- 2019: $48,364
- 2020: $39,002
- 2021: $41,791
- 2022: $35,689
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Paid by Medicare
Paid by Medicare decreased 25% from $38,692 in 2018 to $29,161 in 2022.
- 2018: $38,692
- 2019: $37,850
- 2020: $31,006
- 2021: $33,938
- 2022: $29,161
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 93% from 161 in 2019 to 12 in 2024.
- 2019: 161
- 2020: 61
- 2021: 103
- 2022: 99
- 2024: 12
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30-day fills
30-day fills decreased 93% from 175 in 2019 to 12 in 2024.
- 2019: 175
- 2020: 61
- 2021: 103
- 2022: 100
- 2024: 12
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Part D drug cost
Part D drug cost decreased 94% from $1,757 in 2019 to $112 in 2024.
- 2019: $1,757
- 2020: $469
- 2021: $704
- 2022: $642
- 2024: $112
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2021 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2022; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99285
Emergency department visit with high level of medical decision making
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159 | 146 | $1457.77 | $175.49 |
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99284
Emergency department visit with moderate level of medical decision making
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51 | 51 | $978.76 | $121.60 |
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99283
Emergency department visit with low level of medical decision making
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22 | 22 | $654.73 | $72.00 |
Source: CMS Part B by Provider and Service, 2022; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Ondansetron Odt | Ondansetron | 12 | 82 | $111.80 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-03-12NUCC Taxonomy Code: 207P00000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - EMERGENCY MEDICINE
I20090724000380
OH
5294888103
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dentist
Doctor of Dental Medicine
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner (Certified)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Dentist - General Practice
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Medicine
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 420 SUPERIOR ST, SANDUSKY, OH 448701849 (Tel: 4196265623)
Registered at 420 SUPERIOR ST, SANDUSKY, OH 448701849 (Tel: 4196265623)
NPI status registered as active in NPPES database
Registered at 2939 KENNY RD, STE 200, COLUMBUS, OH 432212406 (Tel: 6144422431)
Registered at 2939 KENNY RD, STE 200, COLUMBUS, OH 432212406 (Tel: 4195476337)
Recorded as MARK SMITH, MD
Emergency Medicine (license number reported to NPPES: OH 35.049915)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Emergency Medicine Providers in Sandusky
- Dr. Stephen Reineck, DO
- Dr. Alexander Keister, DO
- Dr. Melissa Todd, MD
- Dr. Ashley Russell, MD
- Dr. Melina Alexander, DO
- Dr. Scotty Fulton, DO
More public profiles in Ohio
Directory navigation, in NPI number order.
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- Steven Walton, DDS Dentist - General Practice ยท Columbus
- Thomas Pickton, PhD Psychologist - Clinical ยท Canton
- Terrance O'toole, DO Internal Medicine - Gastroenterology ยท Cincinnati
- Johanna Conrad, DDS Dentist ยท Wadsworth
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- Chad Stuckey, CRNA Nurse Anesthetist, Certified Registered ยท Dayton
- Andrew Straub, NP Nurse Practitioner - Adult Health ยท Cleveland
- Nancy Quinn, PA Physician Assistant ยท Cleveland
- Charles Smith Dentist - General Practice ยท Mayfield Hts
- Sanjeev Dhamija Dentist - General Practice ยท Mayfield Hts
- Henry Ng, MD Internal Medicine ยท Cleveland
Mailing Address
420 Superior St
Sandusky, OH 448701849
Phone: 4196265623