MARK T HALDEMAN (MD) – Family Medicine Physician, NPI 1164472833

Family Medicine Physician

MARK T HALDEMAN (MD) is a healthcare provider. based in Sidney, Ohio. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 35-07-5865-H (OH). The NPI Number for MARK T HALDEMAN (MD) is 1164472833

Main info

Male

36 Years Of Experience

Accepts Medicare Assignment

Name

MARK T HALDEMAN (MD)

NPI

1164472833

Phone

(937) 493-0009

Address

1081 FAIRINGTON DR

Enumeration Date

11 May 2006

Last Update Date

16 December 2020

Doctor Profile

Medical School Name

WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE

Secondary Phone

9375966123

Graduation Year

1990 (36 years ago)

PAC ID

9032122205

Group Practice PAC ID

4385549666

Professional Enrollment ID

I20060711000427

Contacts

Secure Messaging

mark.haldeman@wilsonhospital.medicity.net

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness85

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

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Provider Addresses for MARK T HALDEMAN (MD)

1081, Fairington Drive, Sidney, Shelby County, Ohio, 45365, United States
SIDNEY, OH 453658130
Phone: (937) 493-0009
Fax: (937) 492-6684
Type: Location
West Michigan Street, Sidney, Shelby County, Ohio, 45365, United States
SIDNEY, OH 453652401
Phone: (937) 493-0009
Fax: (937) 492-6684
Type: Mailing
915 MICHIGAN ST
SIDNEY, OH 453652401
Phone: (937) 497-5665
Fax: (937) 497-5674
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45365)

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Provider's Procedures

MARK T HALDEMAN (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
FAMILY MEDICINE	OH	83036	Hemoglobin A1C level	27	23

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: 4385549666View full group profile

Name	Specialty	State
MRS. THERESA KAY EDWARDS (APRN-CNP)	Nurse Practitioner	OH
TRIKANNAD S PRASHANTHKUMAR (MD)	Endocrinology, Internal Medicine	OH
MRS. KARA SUE BRUSKOTTER (CNP)	Nurse Practitioner	OH
DR. ROBERT J JR. MCDEVITT (M.D.)	-	OH
LISA A MONROE (NP)	-	OH
BARBARA PLEIMAN (APRN-CNP)	-	OH
MS. ERICA LYNN SMITH (NP-C)	Nurse Practitioner	OH
ERICA NICOLE WOOD (CNP)	Nurse Practitioner	OH
TERESA M TRYGSTAD (DO)	-	OH
DR. ALLISON ELIZABETH PEPPLE (M.D.)	Family Practice	OH