MR. MARK ANTHONY PENTA (PA-C) – Surgical Physician Assistant, NPI 1154456069

MR. MARK ANTHONY PENTA (PA-C) is a healthcare provider. based in Newark, Delaware. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. C5-0000202 (DE). The NPI Number for MR. MARK ANTHONY PENTA (PA-C) is 1154456069

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARK ANTHONY PENTA (PA-C)
NPI
1154456069
Phone
(302) 731-2888
Address
4745 OGLETOWN STANTON RD
Enumeration Date
22 February 2007
Last Update Date
22 November 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4106202244
Graduation Year
1997 (29 years ago)
PAC ID
7416054036
Group Practice PAC ID
6901719822
Professional Enrollment ID
I20070703000255
Address ID
MD219218615EL137XXSTXX403
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

756 PHYSICIAN ASSISTANT in DE

Provider Addresses for MR. MARK ANTHONY PENTA (PA-C)

  • 4745 OGLETOWN STANTON RD

    SUITE 225

    NEWARK, DE 197132067

    Phone: (302) 731-2888

    Fax: (302) 368-0103

    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 2 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-07-19 • Largest payer in this snapshot: 180 Medical, Inc. ($32).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
180 Medical, Inc.$32
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: 2007-07-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070703000255IPhysician AssistantMDTBD

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
81003Automated urinalysis test509387$0
99213Established patient office or other outpatient visit, 20-29 minutes475345$0
99214Established patient office or other outpatient visit, 30-39 minutes210174$0
99204New patient office or other outpatient visit, 45-59 minutes123123$0
99203New patient office or other outpatient visit, 30-44 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 19713)

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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: 6901719822View full group profile
NameSpecialtyState
Clinical Social WorkerMD
Nurse PractitionerMD
Internal Medicine, Pediatric Medicine, Hospitalist, Internal MedicineMD
Diagnostic RadiologyMD
Diagnostic RadiologyMN
Internal Medicine, HospitalistNY
Internal Medicine, Cardiovascular Disease (Cardiology)DE
Diagnostic RadiologyMN
-VA
Clinical Social WorkerMD

Reviews

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Frequently asked questions

Where can patients find MR. MARK ANTHONY PENTA (PA-C)'s NPI?
You can confirm MR. MARK ANTHONY PENTA (PA-C) with NPI 1154456069; it appears in the national provider directory.
Is MR. MARK ANTHONY PENTA (PA-C)'s NPI currently valid?
The extract we use shows MR. MARK ANTHONY PENTA (PA-C) as active.
Does MR. MARK ANTHONY PENTA (PA-C) list a primary specialty?
If you are matching referrals, note Surgical Physician Assistant for MR. MARK ANTHONY PENTA (PA-C). Clinical services aligned with this taxonomy classification.
Does MR. MARK ANTHONY PENTA (PA-C) practice in Delaware?
You will see Newark, Delaware on file for MR. MARK ANTHONY PENTA (PA-C) alongside any extra practice locations.
What if Newark, Delaware seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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