Doctor profile · Federal record
Dr. Mark Chishom, DMD
Oral & Maxillofacial Surgery (D.M.D.) · Oral and Maxillofacial Surgery (Dentist) · Elgin, SC
- NPI 1417908328
- 20 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
102 Buckthorn Cir
Elgin, SC 290458695
(803) 477-4909
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- April 2, 2015
- Specialty taxonomy
- 204E00000X — NUCC code
- State licenses (2)
- South Carolina #3253 · Georgia #DN014013
- Medicaid
- SC #ZX3253
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1417908328. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$43
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Philips North America LLC | 3 | $42.65 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
231
Patients
201
Total drug cost
$871
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ibuprofen | Generic | 73 | 49 | $211 |
| Amoxicillin | Generic | 55 | 53 | $169 |
| Ondansetron Odt (Ondansetron) | Brand | 50 | 49 | $246 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 41 | 39 | $196 |
| Clindamycin Hcl | Generic | 12 | 11 | $50 |
Frequently asked questions
What is Dr. Mark Chishom's medical specialty?
Dr. Mark Chishom practices Oral & Maxillofacial Surgery (D.M.D.) in Elgin, SC.
Where does Dr. Mark Chishom practice?
Dr. Mark Chishom practices at 102 Buckthorn Cir, Elgin, SC 290458695. Office phone: 8034774909.
What is Dr. Mark Chishom's NPI?
Dr. Mark Chishom's National Provider Identifier (NPI) is 1417908328, issued by NPPES.