Active NPI 1336170299 Individual Practitioner Male Practitioner

Dr. Mark Shane Talbert , MD

Surgery • Melbourne, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Talbert, MD is a certified Surgery practicing in Melbourne, FL. With approximately 27 years of clinical experience since graduating from Jc Edwards School Of Medicine, Marshall University in 1999, Dr. Talbert delivers high-quality medical care to the local community at 1223 GATEWAY DR.

Dr. Talbert accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1223 Gateway Dr
Suite 2b

Melbourne, FL 329012607

Telephone 3217254500

Fax 3217270975

Associated Practice Facility / Clinic

🏢 Health First Physicians, Inc Facility NPI 1164474276

Medicare Profile & Education

Medical School

Jc Edwards School Of Medicine, Marshall University

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Melbourne, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +3.4 yrs vs City Avg

City Avg: 23.6 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

17 Specialists

Practicing in Melbourne, FL (2030 Statewide)

Telehealth Adoption Rate

11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Talbert (27 Years) 27 Yrs

Melbourne Specialty Average (23.6 Years) 23.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	205	205	$334.00	$162.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	119	$216.00	$123.13
49650 Repair of groin hernia using an endoscope	27	27	$1287.78	$515.75
49593 Initial repair of sliding hernia of abdomen, 3-10 cm in length	24	24	$1216.00	$568.03
46600 Diagnostic examination of the anus using an endoscope	23	22	$179.00	$109.73
46221 Removal of external hemorrhoids by rubber banding	20	13	$548.00	$269.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$415.00	$168.24
47562 Removal of gallbladder using an endoscope	13	13	$1413.00	$676.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	239	239	$334.00	$163.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	133	$216.00	$124.67
46600 Diagnostic examination of the anus using an endoscope	38	35	$179.00	$115.72
49650 Repair of groin hernia using an endoscope	33	33	$1220.00	$494.18
49593 Initial repair of sliding hernia of abdomen, 3-10 cm in length	19	19	$1216.00	$598.46
46221 Removal of external hemorrhoids by rubber banding	18	13	$548.00	$278.50
47562 Removal of gallbladder using an endoscope	18	18	$1413.00	$683.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$415.00	$172.23
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$39.00	$18.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$88.00	$55.08
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2161.00	$319.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	265	265	$334.00	$166.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	128	$216.00	$126.73
46221 Removal of external hemorrhoids by rubber banding	29	19	$548.00	$288.84
49650 Repair of groin hernia using an endoscope	29	29	$1089.48	$452.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	21	$415.00	$197.44
47562 Removal of gallbladder using an endoscope	21	21	$1413.00	$701.45
49652 Repair of hernia using an endoscope	14	14	$1596.00	$791.00
46600 Diagnostic examination of the anus using an endoscope	13	13	$179.00	$120.37
49505 Repair of groin hernia (5 years or older)	12	12	$1112.00	$552.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	264	264	$334.00	$168.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	126	$216.00	$129.70
46221 Removal of external hemorrhoids by rubber banding	33	23	$548.00	$292.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	29	$415.00	$201.13
49650 Repair of groin hernia using an endoscope	29	29	$1230.52	$522.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	18	$80.00	$38.52
47562 Removal of gallbladder using an endoscope	24	24	$1413.00	$706.29
46600 Diagnostic examination of the anus using an endoscope	19	17	$179.00	$119.70
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2161.00	$348.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	262	262	$334.00	$164.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	148	$216.00	$107.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	39	$415.00	$206.01
49650 Repair of groin hernia using an endoscope	33	33	$1385.33	$501.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	13	$80.00	$40.01
47562 Removal of gallbladder using an endoscope	24	24	$1413.00	$705.10
46221 Removal of external hemorrhoids by rubber banding	17	13	$548.00	$276.50
46600 Diagnostic examination of the anus using an endoscope	15	14	$179.00	$96.18
49652 Repair of hernia using an endoscope	14	14	$1596.00	$798.60
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$39.00	$19.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	256	256	$334.00	$163.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	158	$216.00	$108.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	53	$415.00	$206.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	33	$80.00	$40.23
49650 Repair of groin hernia using an endoscope	36	36	$1372.50	$524.80
47562 Removal of gallbladder using an endoscope	31	31	$1413.00	$696.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	20	$88.00	$44.94
46600 Diagnostic examination of the anus using an endoscope	27	21	$179.00	$95.47
46221 Removal of external hemorrhoids by rubber banding	19	14	$548.00	$275.59
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$2161.00	$357.49
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$39.00	$22.84
49655 Repair of trapped incisional hernia using an endoscope	11	11	$2219.00	$1010.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	197	197	$331.52	$164.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	121	$214.75	$106.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	55	$411.57	$204.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	35	$87.28	$43.27
36415 Insertion of needle into vein for collection of blood sample	48	46	$6.00	$2.94
85018 Blood count, hemoglobin	41	41	$6.00	$2.87
85014 Red blood cell concentration measurement	41	41	$6.00	$2.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	28	$80.00	$39.59
47562 Removal of gallbladder using an endoscope	32	32	$1399.50	$623.07
49650 Repair of groin hernia using an endoscope	30	30	$1209.73	$562.85
46221 Removal of external hemorrhoids by rubber banding	25	18	$545.76	$269.64
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	24	23	$38.17	$22.19
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	22	$961.52	$353.81
46600 Diagnostic examination of the anus using an endoscope	21	19	$179.00	$86.13
49655 Repair of trapped incisional hernia using an endoscope	18	18	$2194.00	$1041.12
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$150.13	$74.26
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	13	$606.86	$289.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$290.71	$144.18
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	13	13	$2844.46	$1411.89
49324 Insertion of abdominal cavity catheter using an endoscope	11	11	$827.00	$410.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	238	238	$332.08	$163.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	120	$215.97	$104.63
36415 Insertion of needle into vein for collection of blood sample	79	77	$6.01	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	73	73	$22.00	$10.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	60	$88.00	$42.85
49650 Repair of groin hernia using an endoscope	40	40	$1044.97	$497.92
47562 Removal of gallbladder using an endoscope	39	39	$1404.23	$656.35
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	34	34	$18.00	$8.69
46600 Diagnostic examination of the anus using an endoscope	31	30	$178.00	$87.14
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$150.00	$72.32
46221 Removal of external hemorrhoids by rubber banding	26	18	$544.00	$267.26
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	25	25	$40.00	$18.59
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$722.00	$331.81
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	18	$610.79	$262.93
49655 Repair of trapped incisional hernia using an endoscope	17	16	$2210.00	$1055.29
85014 Red blood cell concentration measurement	15	15	$7.00	$3.18
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	15	15	$2867.07	$1410.63
85018 Blood count, hemoglobin	15	15	$7.00	$3.18
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	13	$389.00	$109.43
49505 Repair of groin hernia (5 years or older)	14	14	$1106.86	$545.29
44204 Partial removal of large bowel using an endoscope	13	13	$3299.00	$1524.14
80048 Blood test, basic group of blood chemicals (calcium, total)	11	11	$24.00	$11.37

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME101090

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License TN MD0000035863

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000086800 (FL)

Commercial Insurance / Payer ID Bcbs Of Florida

32763 (FL)

Commercial Insurance / Payer ID Cigna Pin

4314703 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Lee Scheinbart , MD

Internal Medicine - Medical Oncology

NPI 1063497592

Doctor of Medicine (M.D.)

Dr. Peter Gilbert , MD

Internal Medicine - Nephrology

NPI 1104816297

Doctor of Medicine (M.D.)

Jacqueline Felder , ARNP

Nurse Practitioner

NPI 1134272453

Advanced Registered Nurse Practitioner

Dr. Sara Gaffney , AuD

Audiologist

NPI 1134613847

Doctor of Audiology

Dr. Thomas Fields , MD

Urology

NPI 1144211186

Doctor of Medicine (M.D.)

Dr. Timothy Carter , MD

Psychiatry & Neurology - Neurology

NPI 1154311652

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 08, 2016

Registered at 1223 GATEWAY DR, SUITE 2B, MELBOURNE, FL 329012607 (Tel: 3217254500)

📍

Updated Business Mailing Address September 08, 2016

Registered at 3466 N HARBOR CITY BLVD, MELBOURNE, FL 329355713 (Tel: 3214341982)

👤

Provider Name / Credentials Updated September 08, 2016

Recorded as MARK TALBERT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2016

Surgery (License #ME101090 in FL)

🟢

Initial NPI Registration & Enumeration July 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336170299

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 06, 2006

Last Update: September 08, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3466 N Harbor City Blvd

Melbourne, FL 329355713

Phone: 3214341982

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.