DR. MARK RAYMOND HANLEY M.D. NPI 1063487676

NPI Information

  • NPI: 1063487676
  • Provider Name: DR. MARK RAYMOND HANLEY, M.D.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1305 VALENTINE ST
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 254-7717

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NPI Details

DR. Mark Raymond Hanley, M.D. is a surgery in Melbourne, FL with 29 years of experience. The provider is 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. DR. Mark Raymond Hanley, M.D. NPI is 1063487676. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF OHIO
Graduation Year:1997

The provider's business location address is:

1305 VALENTINE ST
MELBOURNE, FL
ZIP 32901-127
Phone: (321) 254-7717
Fax: (321) 428-4526

The NPI 1063487676 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
  • Destruction of skin growth, 15 or more growths (HCPCS:17111)
  • Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11642)
  • Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Complicated or multiple drainage of skin abscess (HCPCS:10061)
  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Mastectomy (HCPCS:NAN04)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 2/18/2006 and was last updated on 7/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryME86470FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00242439OTHERFLORIDARR MEDICARE
2267063100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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