MARK S BIANCHI (MD) – Otolaryngology Physician, NPI 1073574166
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
159 OTOLARYNGOLOGY in CT
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Provider Addresses for MARK S BIANCHI (MD)
PO BOX 208237
NEW HAVEN, CT 065208237
Phone: (203) 375-0050
Fax: (203) 380-1616
Type: Mailing
55, Lock Street, Dixwell, New Haven, New Haven County, Connecticut, 06511, United States
NEW HAVEN, CT 06511
Phone: (203) 375-0050
Fax: (203) 380-1616
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $168.
Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($106).
Total Amount
$168
General + Research + Ownership
Payments
8
Total payment records
General Amount
$168
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $106 |
| Regeneron Healthcare Solutions, Inc. | $61 |
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: 2004-02-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040223000174 | I | Otolaryngology | CT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 60 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 46 | $0 |
| 69210 | Removal of impacted ear wax | 56 | 48 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 33 | 32 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 06520)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Internal Medicine | NY | |
| N E U R O L O G Y | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Internal Medicine | CT | |
| P O D I A T R Y | CT | |
| P O D I A T R Y | CT | |
| Physical Medicine And Rehabilitation, Neurology | CT | |
| Internal Medicine | CT |
Reviews
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