MARK P WEINTRAUB (MD) – Urology Physician, NPI 1053342386

MARK P WEINTRAUB (MD) is a healthcare provider. based in Fort myers, Florida. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. ME0068491 (FL). The NPI Number for MARK P WEINTRAUB (MD) is 1053342386

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
MARK P WEINTRAUB (MD)
NPI
1053342386
Phone
(239) 931-7342
Address
2234 COLONIAL BLVD
Enumeration Date
5 July 2006
Last Update Date
26 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417920340
Graduation Year
1985 (41 years ago)
PAC ID
5597725390
Group Practice PAC ID
6103284955
Professional Enrollment ID
I20070203000053
Address ID
FL342058633BR200XXWXXX402
Telehealth
Yes
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

897 UROLOGY in FL

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Provider Addresses for MARK P WEINTRAUB (MD)

  • 2234, Colonial Boulevard, Fort Myers, Lee County, Florida, 33907, United States

    ATTN: PAYER CONTRACTING & RELATIONS

    FORT MYERS, FL 339071412

    Phone: (239) 931-7342

    Fax: (239) 931-7385

    Type: Mailing

  • 3rd Avenue West, Bradenton, Manatee County, Florida, 34205, United States

    SUITE 210

    BRADENTON, FL 342058626

    Phone: (941) 792-0340

    Fax: (941) 794-2251

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $1,945.

Total Amount is formed as General ($1,945) + Research ($0) + Ownership ($0) = $1,945.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Axonics, Inc. ($678).

Total Amount

$1,945

General + Research + Ownership

Payments

67

Total payment records

General Amount

$1,945

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2007-02-03

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070203000053IUrologyFLTBD

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
J9030Bcg live intravesical instillation, 1 mg1,20011$0
81003Automated urinalysis test634378$0
99214Established patient office or other outpatient visit, 30-39 minutes534328$0
99213Established patient office or other outpatient visit, 20-29 minutes526358$0
51798Ultrasound measurement of bladder capacity after voiding235163$0
View full utilization report →

Insurance plans in this area (ZIP 33907)

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Provider's Procedures

MARK P WEINTRAUB (MD) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYFL76872Ultrasound of rectum1111

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: 6103284955View full group profile
NameSpecialtyState
U R O L O G YFL
U R O L O G YFL
Colorectal Surgery (Proctology)FL
O T O L A R Y N G O L O G YFL
Colorectal Surgery (Proctology), General SurgeryFL
Physician AssistantFL
Physician AssistantFL
O T O L A R Y N G O L O G YFL
General SurgeryFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find MARK P WEINTRAUB (MD)'s NPI?
You can confirm MARK P WEINTRAUB (MD) with NPI 1053342386; it appears in the national provider directory.
Is MARK P WEINTRAUB (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MARK P WEINTRAUB (MD) list a primary specialty?
If you are matching referrals, note Urology Physician for MARK P WEINTRAUB (MD). Clinical services aligned with this taxonomy classification.
Does MARK P WEINTRAUB (MD) practice in Florida?
You will see Fort Myers, Florida on file for MARK P WEINTRAUB (MD) alongside any extra practice locations.
What if Fort Myers, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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