DR. MARK J SHULKOSKY (MD) – Anesthesiology Physician, NPI 1568411106
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,323 ANESTHESIOLOGY in MA
Provider Addresses for DR. MARK J SHULKOSKY (MD)
55 Lake Ave N
Worcester, MA 016550002
Phone: (508) 856-3271
Type: Location
22 Bramhall St
Portland, ME 041023134
Phone: (207) 662-2526
Fax: (207) 662-6236
Type: Location
21 Eastern Ave
Worcester, MA 016053094
Phone: (508) 334-8036
Type: Location
11781 ROUTE 50 STE 550
FAIRFAX, VA 220333336
Phone: (571) 777-5102
Fax: (703) 563-6256
Type: Mailing
UPMC Hamot, 201, State Street, Erie, Erie County, Pennsylvania, 16550, United States
ERIE, PA 165500002
Phone: (814) 877-2137
Fax: (814) 877-7049
Type: Location
11781, Lee Jackson Memorial Highway, Fairfax Farms, Fair Oaks, Fairfax (city), Virginia, 22033, United States
SUITE 550
FAIRFAX, VA 220333309
Phone: (571) 777-5102
Fax: (703) 563-6256
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090928000374 | I | Anesthesiology | PA | TBD |
| I20220627000615 | I | Anesthesiology | ME | TBD |
| I20250729003358 | I | Anesthesiology | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00812 | Anesthesia for exam of colon using an endoscope | 40 | 40 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 33 | 32 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 23 | 23 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 20 | 20 | $0 |
| 00142 | Anesthesia for lens surgery | 15 | 15 | $0 |
Insurance plans in this area (ZIP 01655)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| - | MA | |
| - | MA | |
| Family Practice | MA | |
| Physician Assistant | MA | |
| Pulmonary Disease, Critical Care (Intensivists), Allergy/Immunology | MA | |
| - | MA | |
| - | MA | |
| Internal Medicine | MA | |
| Nurse Practitioner | MA |
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