DR. MARK R KATSAROS (D.O.) – Emergency Medicine Physician, NPI 1306894019

DR. MARK R KATSAROS (D.O.) is a healthcare provider. based in Moberly, Missouri. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 114695 (MO). The NPI Number for DR. MARK R KATSAROS (D.O.) is 1306894019

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK R KATSAROS (D.O.)
NPI
1306894019
Phone
(660) 263-8400
Address
1515 Union Ave
Enumeration Date
5 May 2006
Last Update Date
29 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5736357141
Graduation Year
1995 (31 years ago)
PAC ID
9931105871
Group Practice PAC ID
4486759560
Professional Enrollment ID
I20061017000039
Address ID
MO651015227JE1125XSTXX300

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,351 EMERGENCY MEDICINE in MO

Provider Addresses for DR. MARK R KATSAROS (D.O.)

  • 1515 Union Ave

    Moberly, MO 652709407

    Phone: (660) 263-8400

    Type: Location

  • PO BOX 843966

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

  • 3527 W TRUMAN BLVD

    JEFFERSON CITY, MO 651095901

    Phone: (573) 882-8910

    Fax: (573) 884-1585

    Type: Location

  • University Hospital, 1, Hospital Drive, Columbia, Boone County, Missouri, 65212, United States

    UNIVERSITY OF MISSOURI EMERGENCY DEPARTMENT

    COLUMBIA, MO 652015276

    Phone: (660) 263-8400

    Type: Mailing

  • Moberly Regional Medical Center, 1515, Union Avenue, Moberly, Randolph County, Missouri, 65270, United States

    MOBERLY, MO 652709407

    Phone: (660) 263-8400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2006-10-17

PECOS data refreshed: 2026-05-27

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
I20061017000039IEmergency MedicineMOTBD

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 minutes135132$0
87804Detection test by immunoassay with direct visual observation for influenza virus8241$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen5151$0
81002Urinalysis, manual test1615$0
87651Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique1616$0
View full utilization report →

Insurance plans in this area (ZIP 65270)

Loading plans...

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: 4486759560View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YPA
General SurgeryMO
Family PracticeMO
Psychiatry, NeurologyMO
-MO
-MO
-OH
Family PracticeMO
-WA
Diagnostic RadiologyMO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for DR. MARK R KATSAROS (D.O.) in the U.S.?
In the U.S., DR. MARK R KATSAROS (D.O.) is identified by NPI 1306894019.
Does the public listing show DR. MARK R KATSAROS (D.O.) as active?
DR. MARK R KATSAROS (D.O.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. MARK R KATSAROS (D.O.) does?
Insurance directories may phrase it differently, but here DR. MARK R KATSAROS (D.O.) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MARK R KATSAROS (D.O.)?
DR. MARK R KATSAROS (D.O.) shows a connection to Moberly, Missouri in registry-derived data.
Why is information missing for DR. MARK R KATSAROS (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

DENNIS L SMITH (D.O.)

Family Medicine Physician
1600 E Broadway
NPI: 1952331910

DR. KARL DAVID SR. HARMSTON (D.O.)

Emergency Medicine Physician
45, Urbandale, Moberly, Randolph County, Missouri, 65270, United States
NPI: 1609891852

LOY C PUCKETT (MD)

Emergency Medicine Physician
Moberly Regional Medical Center, 1515, Union Avenue, Moberly, Randolph County, Missouri, 65270, United States
NPI: 1831274141

JOEL M BLACKBURN (D.O.)

Emergency Medicine Physician
PO BOX 843966
NPI: 1801967047

Emergency Department

Emergency Medicine Physician
1515 UNION AVE
NPI: 1205967486

MOBERLY HBP MEDICAL GROUP LLC

Emergency Medicine Physician
Moberly Regional Medical Center, 1515, Union Avenue, Moberly, Randolph County, Missouri, 65270, United States
NPI: 1487895082

PEGASUS EMERGENCY GROUP MOBERLY

Emergency Medicine Physician
12, Gill Street, Mishawum, Woburn, Middlesex County, Massachusetts, 01801, United States
NPI: 1144453127

RUSSELL TODD ALLEN (DO)

Emergency Medicine Physician
4104 S 4th St
NPI: 1194090357