MARK VICTOR RESTAD (PA-C) – Physician Assistant, NPI 1114145174

MARK VICTOR RESTAD (PA-C) is a healthcare provider. based in Kenai, Alaska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 344 (AK). The NPI Number for MARK VICTOR RESTAD (PA-C) is 1114145174

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
MARK VICTOR RESTAD (PA-C)
NPI
1114145174
Phone
(907) 283-6030
Address
11472 KENAI SPUR HWY
Enumeration Date
23 April 2007
Last Update Date
21 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9077430050
Graduation Year
1994 (32 years ago)
PAC ID
6406025287
Group Practice PAC ID
5890964746
Professional Enrollment ID
I20110811000844
Address ID
AK995036649AN510XXRDXX406
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

551 PHYSICIAN ASSISTANT in AK

Provider Addresses for MARK VICTOR RESTAD (PA-C)

  • 11472 KENAI SPUR HWY

    SUITE #2

    KENAI, AK 996117756

    Phone: (907) 283-6030

    Fax: (907) 283-3194

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $821.

Total Amount is formed as General ($821) + Research ($0) + Ownership ($0) = $821.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: ABBVIE INC. ($361).

Total Amount

$821

General + Research + Ownership

Payments

25

Total payment records

General Amount

$821

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110811000844IPhysician AssistantAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes565269$0
99214Established patient office or other outpatient visit, 30-39 minutes517174$0
96372Injection of drug or substance under skin or into muscle6723$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5252$0
36415Insertion of needle into vein for collection of blood sample3835$0
View full utilization report →

Insurance plans in this area (ZIP 99611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890964746View full group profile
NameSpecialtyState
Physician AssistantAK
Physician AssistantAK
Nurse PractitionerFL
Physician AssistantAK
-AK
Nurse PractitionerAK
-AK
Nurse PractitionerAK
Physician AssistantAK
Family Practice, Sleep MedicineAK

Reviews

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Frequently asked questions

What is the standard ID for MARK VICTOR RESTAD (PA-C) in the U.S.?
In the U.S., MARK VICTOR RESTAD (PA-C) is identified by NPI 1114145174.
Is MARK VICTOR RESTAD (PA-C)'s NPI status active today?
Active status means MARK VICTOR RESTAD (PA-C)'s NPI record is not deactivated in the public file.
What services align with MARK VICTOR RESTAD (PA-C)'s listing?
MARK VICTOR RESTAD (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit MARK VICTOR RESTAD (PA-C) in Kenai, Alaska?
For routing, start with Kenai, Alaska for MARK VICTOR RESTAD (PA-C), then verify phone and hours locally.
Who maintains MARK VICTOR RESTAD (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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