Mark Shima, D. O.
NPI 1669789327 · Surgery of the Hand (Surgery) Physician · Champaign, IL
Enrolled with Medicare as Practitioner - Hand Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Shima, D. O. is a Surgery of the Hand (Surgery) Physician provider in Champaign, IL (NPI 1669789327).
Provider details
- NPI number
- 1669789327
- Entity type
- Individual
- Primary specialty
- Surgery of the Hand (Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D. O.
- Sex
- Male
- Sole proprietor
- No
- License
- 036142552 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
126 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 34 | $92 |
| Injection Into Tendon Or Ligament20550 | 24 | $37 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 21 | $125 |
| Incision of Tendon Covering of Finger26055 | 18 | $238 |
| Release And/Or Relocation of Hand Nerve64721 | 15 | $356 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 14 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 68 | 56 |
| Tramadol Hcl | 25 | 25 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$24 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-09-01
- Last updated
- 2025-09-11
- Certified
- 2025-09-11
Frequently asked questions
- What is Mark Shima's NPI number?
- Mark Shima's National Provider Identifier (NPI) is 1669789327, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Shima's specialty?
- Mark Shima is listed in the NPPES registry with a primary specialty of Surgery of the Hand (Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Shima located?
- Mark Shima's practice location on file with NPPES is 2300 S 1st St, Champaign, IL 61820-7661.
- What is Mark Shima's phone number?
- The practice phone number listed in the NPPES registry for Mark Shima is (217) 383-9400.
- Does Mark Shima accept Medicare?
- Mark Shima is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Shima's NPI active?
- Yes — Mark Shima's NPI (1669789327) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.