MARK IAN OESTREICHER (M.D.) – Dermatology Physician, NPI 1982629655

MARK IAN OESTREICHER (M.D.) is a healthcare provider. based in Trumbull, Connecticut. specializing in DERMATOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 021118 (CT). The NPI Number for MARK IAN OESTREICHER (M.D.) is 1982629655

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
MARK IAN OESTREICHER (M.D.)
NPI
1982629655
Phone
(203) 377-0639
Address
160 HAWLEY LN
Enumeration Date
13 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
2033770639
Graduation Year
1974 (52 years ago)
PAC ID
5193886893
Group Practice PAC ID
5395806095
Professional Enrollment ID
I20100511000155
Address ID
CT066115379TR160XXLNXX301
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

270 DERMATOLOGY in CT

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Provider Addresses for MARK IAN OESTREICHER (M.D.)

  • Hawley Lane Professional Center, 160, Hawley Lane, Trumbull, Fairfield County, Connecticut, 06611, United States

    SUITE 104

    TRUMBULL, CT 066115300

    Phone: (203) 377-0639

    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 184 Open Payments records for all available years, with a total value of $12,443.

Total Amount is formed as General ($12,443) + Research ($0) + Ownership ($0) = $12,443.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($8,607).

Total Amount

$12,443

General + Research + Ownership

Payments

184

Total payment records

General Amount

$12,443

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2010-05-11

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
I20100511000155IDermatologyCTTBD

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
17003Destruction of precancer skin growth, 2-14 growths631158$0
99213Established patient office or other outpatient visit, 20-29 minutes469413$0
17000Destruction of precancer skin growth, 1 growth261251$0
99214Established patient office or other outpatient visit, 30-39 minutes221203$0
17004Destruction of precancer skin growth, 15 or more growths192175$0
View full utilization report →

Insurance plans in this area (ZIP 06611)

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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: 5395806095View full group profile
NameSpecialtyState
-CT
P A T H O L O G YCT
Physician AssistantCT
D E R M A T O L O G YCA
Physician AssistantNY
D E R M A T O L O G YCT
D E R M A T O L O G YCT
Physician AssistantCT
Physician AssistantIL
D E R M A T O L O G YCT

Reviews

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Frequently asked questions

Can I use this page to confirm MARK IAN OESTREICHER (M.D.)'s NPI?
Yes. MARK IAN OESTREICHER (M.D.) is listed with NPI 1982629655 in the public NPI dataset.
Can I rely on MARK IAN OESTREICHER (M.D.) being an active provider?
As of the registry snapshot, MARK IAN OESTREICHER (M.D.) is marked active.
What taxonomy line describes MARK IAN OESTREICHER (M.D.)?
For research purposes, treat MARK IAN OESTREICHER (M.D.) as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does MARK IAN OESTREICHER (M.D.) serve?
MARK IAN OESTREICHER (M.D.)'s listing highlights Trumbull, Connecticut; more addresses can appear in NPPES.
Is the information about MARK IAN OESTREICHER (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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