DAVID MARC NORTHERN (MD) – Surgery Physician, NPI 1164749875
Surgery Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DAVID MARC NORTHERN (MD)
4102 PINION DR
USAF ACADEMY, CO 808402502
Phone: (719) 333-5140
Type: Location
PO BOX 55309
BIRMINGHAM, AL 352555309
Phone: (205) 731-9050
Type: Mailing
619 19TH ST S
BIRMINGHAM, AL 352491302
Phone: (205) 934-4011
Type: Location
701 19th Street S
Birmingham, AL 352940001
Phone: (205) 975-7521
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-10-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161205002069 | I | General Surgery | FL | TBD |
| I20190822003336 | I | General Surgery | AL | TBD |
| I20221005001366 | I | General Surgery | CO | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80840)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | TX | |
| - | AL | |
| A N E S T H E S I O L O G Y | AL | |
| E N D O C R I N O L O G Y | VA | |
| Nurse Practitioner | AL | |
| - | AL | |
| Hospitalist, Internal Medicine | AL | |
| Clinical Psychologist | AL | |
| Nurse Practitioner | AL | |
| - | AL |
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