MARK MANCUSO (MD) – Anesthesiology Physician, NPI 1881672780

MARK MANCUSO (MD) is a healthcare provider. based in Dover, Delaware. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. C1-0005913 (DE). The NPI Number for MARK MANCUSO (MD) is 1881672780

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MARK MANCUSO (MD)
NPI
1881672780
Phone
(302) 674-4700
Address
640 S State St
Enumeration Date
3 January 2006
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
3027331000
Graduation Year
1997 (29 years ago)
PAC ID
7416149745
Group Practice PAC ID
9537064498
Professional Enrollment ID
I20101005001156
Address ID
DE197182200NE4755XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

136 ANESTHESIOLOGY in DE

Provider Addresses for MARK MANCUSO (MD)

  • 640 S State St

    Dover, DE 199013530

    Phone: (302) 674-4700

    Type: Location

  • Wilmington Junior Academy, 3001, Millcreek Road, Breckenridge, Highland West, Wilmington, New Castle County, Delaware, 19808, United States

    SUITE 5

    WILMINGTON, DE 19808

    Phone: (302) 897-8257

    Type: Mailing

  • 2006 LIMESTONE RD STE 5

    WILMINGTON, DE 198085553

    Phone: (302) 995-1860

    Fax: (302) 995-5421

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20101005001156IAnesthesiologyDETBD
I20190722000139IAnesthesiologyPATBD

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
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand6965$0
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)5452$0
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance2828$0
01630Anesthesia for other procedure on top of arm bone and shoulder joint2424$0
01400Anesthesia for other procedure or exam of knee joint using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 19901)

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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: 9537064498View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)DE
-MI
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

What NPI should I save for MARK MANCUSO (MD)?
Save NPI 1881672780 if you need a stable reference for MARK MANCUSO (MD).
Is MARK MANCUSO (MD) active in the national directory?
MARK MANCUSO (MD)'s public NPI profile is in an active state.
What kind of provider is MARK MANCUSO (MD)?
The page reflects Anesthesiology Physician for MARK MANCUSO (MD). Clinical services aligned with this taxonomy classification.
Where does public data place MARK MANCUSO (MD)?
The snapshot lists Dover, Delaware for MARK MANCUSO (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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