MARK DAVID DEPONTE (MD) – Family Medicine Physician, NPI 1265434583
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
48 GENERAL PRACTICE in CT
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Provider Addresses for MARK DAVID DEPONTE (MD)
Lee Road, Lisbon, New London County, Connecticut, 06351, United States
LISBON, CT 06351
Phone: (860) 376-4451
Fax: (860) 376-5977
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 174 Open Payments records for all available years, with a total value of $2,897.
Total Amount is formed as General ($2,897) + Research ($0) + Ownership ($0) = $2,897.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($567).
Total Amount
$2,897
General + Research + Ownership
Payments
174
Total payment records
General Amount
$2,897
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $567 |
| GlaxoSmithKline, LLC. | $542 |
| Novo Nordisk Inc | $487 |
| AstraZeneca Pharmaceuticals LP | $207 |
| PFIZER INC. | $135 |
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: 2010-02-03
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 |
|---|---|---|---|---|
| I20100203000351 | I | General Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 707 | 308 | $0 |
| 81002 | Urinalysis, manual test | 134 | 122 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 124 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 123 | 97 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 101 | 101 | $0 |
Insurance plans in this area (ZIP 06351)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CT | |
| Nurse Practitioner | CT |
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