DR. MARK EDWARD SHIRLEY (D.O.) – Emergency Medicine Physician, NPI 1578504528
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
953 FAMILY PRACTICE in NE
Provider Addresses for DR. MARK EDWARD SHIRLEY (D.O.)
15909 W Maple Rd
Suite 103
Omaha, NE 681168254
Phone: (402) 614-2442
Fax: (402) 614-2642
Type: Location
810 N 22nd St
Blair, NE 680081128
Phone: (402) 426-1150
Fax: (402) 426-1190
Type: Location
810, North 22nd Street, Blair, Washington County, Nebraska, 68008, United States
BLAIR, NE 680081128
Phone: (402) 426-2182
Fax: (402) 426-1190
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: VERTEX PHARMACEUTICALS INCORPORATED ($19).
Total Amount
$37
General + Research + Ownership
Payments
2
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| VERTEX PHARMACEUTICALS INCORPORATED | $19 |
| Stryker Corporation | $19 |
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: 2005-02-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040408001082 | I | Family Practice | NE | TBD |
| I20050204000319 | I | Emergency Medicine | IA | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 61 | 60 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 27 | 27 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 21 | 21 | $0 |
Insurance plans in this area (ZIP 68116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management | NE | |
| Physician Assistant | NE | |
| Family Practice | NE | |
| Family Practice | NE | |
| Physician Assistant | NE | |
| Emergency Medicine, Family Practice, Family Practice | NE | |
| Clinical Social Worker | NE | |
| Family Practice | NE | |
| Family Practice | NE | |
| Nurse Practitioner | NE |
Reviews
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