MARK EDWARD COLLINS (MD) – Emergency Medicine Physician, NPI 1982691945

MARK EDWARD COLLINS (MD) is a healthcare provider. based in Boulder, Colorado. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 35062911C (OH). The NPI Number for MARK EDWARD COLLINS (MD) is 1982691945

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
MARK EDWARD COLLINS (MD)
NPI
1982691945
Phone
(614) 302-5265
Address
3455 TABLE MESA DR APT B116
Enumeration Date
4 October 2005
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
6149230300
Graduation Year
1988 (38 years ago)
PAC ID
4183606908
Group Practice PAC ID
3476733700
Professional Enrollment ID
I20040604000739

Contacts

Secure Messaging
mcollins51368@direct.ohiohealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MARK EDWARD COLLINS (MD)

  • 3455 TABLE MESA DR APT B116

    BOULDER, CO 803055833

    Phone: (614) 302-5265

    Type: Mailing

  • 4590, West 121st Avenue, Broomfield Corners, Broomfield, Colorado, 80020, United States

    BROOMFIELD, CO 800205666

    Phone: (303) 439-4544

    Fax: (303) 439-9369

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-05-12 • Largest payer in this snapshot: Mirati Therapeutics, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-12

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: 2004-06-04

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
I20040604000739IEmergency MedicineOHTBD

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 minutes6362$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen1818$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
87502Detection test by nucleic acid for multiple types influenza virus1212$0
81003Automated urinalysis test1111$0
View full utilization report →

Insurance plans in this area (ZIP 80305)

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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: 3476733700View full group profile
NameSpecialtyState
-NC
Nurse PractitionerOH
General PracticeOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerIL
Emergency MedicineOH
Family PracticeOH
-OH
Physician AssistantOH

Reviews

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Frequently asked questions

How do I look up MARK EDWARD COLLINS (MD) by NPI?
Use NPI 1982691945 when you need to reference MARK EDWARD COLLINS (MD) in forms, claims, or directories.
Is MARK EDWARD COLLINS (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MARK EDWARD COLLINS (MD) work in?
You can think of MARK EDWARD COLLINS (MD) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for MARK EDWARD COLLINS (MD)?
We surface Boulder, Colorado for MARK EDWARD COLLINS (MD) based on available NPPES addresses.
What if Boulder, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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