Dr. Mark Stephen Fedder

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Mark Stephen Fedder
Gender:	M
Provider License Number If Given:	036-067702

NPI Information:

NPI:	1922009943
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	8/2/2005
Last Update Date:	12/29/2020
Reputation Report:

Provider Business Mailing Address:

Address:	6810 STATE ROUTE 162 SUITE 211 Maryville, IL 62062
Phone Number:	6182880346
Fax Number:	6182880349

Provider Business Practice Location Address:

Address:	6810 STATE ROUTE 162 SUITE 211 Maryville, IL 62062
Phone Number:	6182880346
Fax Number:	6182880349

Provider Taxonomy:

Primary:	207RG0100X
Secondary (if any):
State:	IL

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About Dr. Mark Stephen Fedder

Dr. Mark Stephen Fedder (DR. MARK STEPHEN FEDDER ) is An Internal Medicine Physician in Maryville, IL. The NPI Number for Dr. Mark Stephen Fedder is 1922009943.

The current location address for Dr. Mark Stephen Fedder is 6810 STATE ROUTE 162 SUITE 211 Maryville, IL 62062 and the contact number is 6182880346 and fax number is 6182880349. The mailing address for Dr. Mark Stephen Fedder is 6810 STATE ROUTE 162 SUITE 211 Maryville, IL 62062- 6182880346 (mailing address contact number - 6182880346).

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Mark Stephen Fedder ?

Answer: The NPI Number for Dr. Mark Stephen Fedder is 1922009943

Where is Dr. Mark Stephen Fedder located?

Answer: Dr. Mark Stephen Fedder is located at 6810 STATE ROUTE 162 SUITE 211 Maryville, IL 62062.

What is the specialty for Dr. Mark Stephen Fedder ?

Answer: The Specialty of Dr. Mark Stephen Fedder is An Internal Medicine Physician.

Are there any online reviews for Dr. Mark Stephen Fedder ?

Answer: Yes! Check It Now.

Are there any other health care providers in Maryville, IL?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Mark Stephen Fedder

Number of HCPCS	35
Number of Medicare Beneficiaries	377
Number of Services	684
Total Submitted Charge Amount	410684.4
Total Medicare Allowed Amount	97253.32
Total Medicare Payment Amount	79250.16
Total Medicare Standardized Payment Amount	76235.17
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	35
Number of Medicare Beneficiaries With Medical	377
Number of Medical Services	684
Total Medical Submitted Charge Amount	410684.4
Total Medical Medicare Allowed Amount	97253.32
Total Medical Medicare Payment Amount	79250.16
Total Medical Medicare Standardized Payment Amount	76235.17
Average Age of Beneficiaries	73
Number of Beneficiaries Age Less 65	20
Number of Beneficiaries Age 65 to 74	205
Number of Beneficiaries Age 75 to 84	118
Number of Beneficiaries Age Greater 84	34
Number of Female Beneficiaries	205
Number of Male Beneficiaries	172
Number of Non-Hispanic White Beneficiaries	351
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries	0
Number of Beneficiaries With Race Not Elsewhere Classified	13
Number of Beneficiaries With Medicare & Medicaid Entitlement	28
Number of Beneficiaries With Medicare Only Entitlement	349
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.14
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.11
Percent (%) of Beneficiaries Identified With Asthma	0.05
Percent (%) of Beneficiaries Identified With Cancer	0.11
Percent (%) of Beneficiaries Identified With Heart Failure	0.18
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.33
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.15
Percent (%) of Beneficiaries Identified With Depression	0.21
Percent (%) of Beneficiaries Identified With Diabetes	0.37
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.75
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.33
Percent (%) of Beneficiaries Identified With Osteoporosis	0.08
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.48
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0.05
Average HCC Risk Score of Beneficiaries	1.0567

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Gastroenterology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	1041
Number of Standardized 30-Day Fills	1902.0666667
Aggregate Cost Paid for All Claims	261144.58
Number of Day's Supply for All Claims	52994
Number of Medicare Beneficiaries	332
Number of Claims, Including Refills, for Beneficiaries Age 65+	938
Including Refills, for Beneficiaries Age 65+	1714.0666667
Beneficiaries Age 65+	251344.37
Number of Day's Supply for All Claims for Beneficaries Age 65+	47641
Number of Medicare Beneficiaries Age 65+	304
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	247
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	794
Aggregate Cost Paid for Generic Drugs	69527.14
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	0
Aggregate Cost Paid for Other Drugs	0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	626
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	189640.04
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	415
Aggregate Cost Paid for Claims Filled by	71504.54
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	136
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	10425.98
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	905
by Low-Income Subsidy	250718.6
Total Claims of Opioid Drugs, Including	0
Aggregate Cost Paid for Opioid Drugs	0
Opioid Claims	0
Opioid_Tot_Clms divided by the Tot_Clms	0
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims	0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	16
Aggregate Cost Paid for Antibiotic Drugs	29456.63
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	73.18373494
Number of Beneficiaries Age Less Than 65	28
Number of Beneficiaries Age 65 to 74	159
Number of Beneficiaries Age 75 to 84	119
Number of Female Beneficiaries	183
Number of Male Beneficiaries	149
Number of Non-Hispanic White	306
Number of Black or African American	12
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	303
Average Hierarchical Condition Category	1.1119554094

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