NPI registry status
Active
2026 NPPES data Surgery of the Hand (Surgery) Physician NPI 1669789327 D. O.
Verify on CMS → Mark Shima, D. O.
Surgery of the Hand (Surgery) Physician in Champaign, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 411 in Surgery of the Hand (Surgery) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
114
Medicare Part D claims · 90 beneficiaries · Surgery of the Hand (Surgery) Physician avg: 179
Industry payments
$23.71
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Mark Shima, D. O. filed 114 Medicare Part D claims in 2024 as a Surgery of the Hand (Surgery) Physician in Champaign, Illinois.
- 114
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥34th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Mark Shima, D. O.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1669789327), first enumerated 09/01/2010.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 114 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$23.71 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not Mark Shima, D. O.'s individual license status. Verify directly with the state medical board.
Source: IDFPR annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1669789327 · Surgery of the Hand (Surgery) Physician
NPI-10 · ENUM-MID · TAX-TRACE · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1669789327
- ENUM-MID 2010
- TAX-TRACE 411
- RX-LIGHT 114
- BOOK-THIN 15 in Illinois
- PHOTO-ENUM Rishi Jindal, MD · 2010
Mark Shima, D. O.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
114 ≥ 34th percentile 34% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Mark Shima, D. O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Mark Shima, D. O.?
Quality data not reportedPrimary specialty
Surgery of the Hand (Surgery) Physician
Medicare Part D claims
114 36% vs specialty avg
Specialty distribution in Illinois
How Surgery of the Hand (Surgery) Physician compares to other specialties among Illinois providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Surgery of the Hand (Surgery) Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1669789327 |
|---|---|
| Specialty | Surgery of the Hand (Surgery) Physician |
| Credentials | D. O. |
| Gender | Male |
| NPI Issued | 09/01/2010 |
Hospital and facility affiliations
Facilities where Mark Shima, D. O. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Carle Health Care Incorporated
Champaign, IL
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Mark Shima, D. O.. Source: openpaymentsdata.cms.gov.
Total received
$24
Largest payer
Merck Sharp & Dohme LLC
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Illinois IDFPR 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 - they are NOT specific to Mark Shima, D. O.. To verify Mark Shima, D. O.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
114
Total Claims
$339
Total Drug Cost
90
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 114
- Total Day Supply
- 507
- Brand Drug Cost
- $0
- Generic Drug Cost
- $339
- Opioid Claims
- 99 (86.8% rate)
Patient Demographics
- Average Patient Age
- 69.0 years
- Avg HCC Risk Score
- 1.61
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 23, 65-74: 39, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 68 |
| Tramadol Hcl | 25 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Surgery of the Hand (Surgery) Physician in IL →
All providers in Illinois →
Compare specialties →
Surgery of the Hand (Surgery) Physician Overview
How Mark Shima, D. O. fits within the Surgery of the Hand (Surgery) Physician landscape nationally.
411
Surgery of the Hand (Surgery) Physician Providers in US
45
States with Surgery of the Hand (Surgery) Physician
179
Avg Claims per Provider
Mark Shima, D. O.'s 114 claims are below the specialty average of 179.
Nationwide Surgery of the Hand (Surgery) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Shima, both outside Illinois so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2010)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Surgery of the Hand (Surgery) Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Shima.
One of 15 Surgery of the Hand (Surgery) Physician providers enrolled in Illinois, 5 are shown here.
Dr. Timothy Bradley
MD
St Charles, IL
Dr. John Bulger
MD
Hinsdale, IL
Dr. Alan Chen
M.D.
Joliet, IL
Dr. Salvatore Fanto
MD
Orland Park, IL
Dr. Peter Hui
M.D.
Elmhurst, IL
Compare Surgery of the Hand (Surgery) Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Mark Shima, D. O.'s specialty? ▼
Mark Shima, D. O. specializes in Surgery of the Hand (Surgery) Physician and practices in Champaign, Illinois. Credentials: D. O..
How much does Mark Shima, D. O. prescribe under Medicare Part D? ▼
In 2024, Mark Shima, D. O. wrote 114 Medicare Part D claims totaling $339 in drug costs for 90 beneficiaries.
Where is Mark Shima, D. O. located? ▼
Mark Shima, D. O. is located at 2300 S 1ST ST, Champaign, IL, 61820. Phone: (217) 383-9400.
What is Mark Shima, D. O.'s NPI number? ▼
Mark Shima, D. O.'s National Provider Identifier (NPI) is 1669789327, issued on 09/01/2010.
Does Mark Shima, D. O. prescribe opioids? ▼
Yes, Mark Shima, D. O. had 99 opioid claims in 2024 with an opioid prescribing rate of 86.8%.
How many Surgery of the Hand (Surgery) Physician providers are there in the US? ▼
There are 411 Surgery of the Hand (Surgery) Physician providers across 45 states in the US. The average Surgery of the Hand (Surgery) Physician provider writes 179 Medicare Part D claims per year.
What drugs does Mark Shima, D. O. prescribe most often? ▼
Based on 2024 Medicare Part D data, Mark Shima, D. O.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mark Shima, D. O. accept Medicare? ▼
Mark Shima, D. O. appears in CMS Medicare data with 114 Part D claims and 90 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mark Shima, D. O.'s credentials? ▼
Mark Shima, D. O.'s NPI is 1669789327 with credentials D. O.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.