MARK EMENECKER (D.O.) – Family Medicine Physician, NPI 1285740571

MARK EMENECKER (D.O.) is a healthcare provider. based in Mattoon, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 036-104851 (IL). The NPI Number for MARK EMENECKER (D.O.) is 1285740571

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
MARK EMENECKER (D.O.)
NPI
1285740571
Phone
(217) 238-4850
Address
1000 Health Center Dr Ste 302
Enumeration Date
21 August 2006
Last Update Date
15 April 2021

Doctor Profile

Medical School Name
ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
2173457700
Graduation Year
1994 (32 years ago)
PAC ID
9739177569
Group Practice PAC ID
5092614867
Professional Enrollment ID
I20040503000243
Address ID
IL619202522CH116XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,052 FAMILY PRACTICE in IL

Provider Addresses for MARK EMENECKER (D.O.)

  • 1000 Health Center Dr Ste 302

    Mattoon, IL 619384644

    Phone: (217) 238-4850

    Fax: (217) 238-4855

    Type: Location

  • 116, West Buchanan Avenue, Charleston, Coles County, Illinois, 61920, United States

    CHARLESTON, IL 619202522

    Phone: (217) 345-7700

    Fax: (217) 345-7200

    Type: Location

  • 1005 HEALTH CENTER DR STE 201

    MATTOON, IL 619384693

    Phone: (217) 238-6055

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 103 Open Payments records for all available years, with a total value of $1,768.

Total Amount is formed as General ($1,768) + Research ($0) + Ownership ($0) = $1,768.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($483).

Total Amount

$1,768

General + Research + Ownership

Payments

103

Total payment records

General Amount

$1,768

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040503000243IFamily PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes228148$0
99214Established patient office or other outpatient visit, 30-39 minutes163131$0
96372Injection of drug or substance under skin or into muscle5212$0
G0008Administration of influenza virus vaccine4545$0
90686Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage3131$0
View full utilization report →

Insurance plans in this area (ZIP 61938)

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Provider's Procedures

MARK EMENECKER (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIL11042Removal of skin and tissue first 20 sq cm or less14233
FAMILY MEDICINEIL90670Pneumococcal vaccine for injection into muscle1616

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092614867View full group profile
NameSpecialtyState
-IL
Family PracticeIN
Internal MedicineIL
-IL
Family PracticeIL
Nurse PractitionerIL
Family PracticeIL
Infectious DiseaseIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I cross-check MARK EMENECKER (D.O.) using NPI 1285740571?
NPI 1285740571 belongs to MARK EMENECKER (D.O.); compare other details if you need extra assurance.
Would MARK EMENECKER (D.O.) appear as active to a payer?
You can treat MARK EMENECKER (D.O.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MARK EMENECKER (D.O.)?
At a glance, MARK EMENECKER (D.O.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is MARK EMENECKER (D.O.) registered?
Use Mattoon, Illinois as the headline location for MARK EMENECKER (D.O.) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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