MARK C. GILLESPY (MD) – Orthopaedic Surgery Physician, NPI 1073592606
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,916 ORTHOPEDIC SURGERY in FL
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Provider Addresses for MARK C. GILLESPY (MD)
1075, Mason Avenue, Daytona Beach, Volusia County, Florida, 32117, United States
DAYTONA BEACH, FL 321174611
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Mailing
1890 Lpga Blvd Ste 240
Daytona Beach, FL 321177131
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Location
1165 Dunlawton Ave Ste 102
Port Orange, FL 321272924
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Location
17 Old Kings Rd N Ste K
Palm Coast, FL 321378283
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Location
1075 Mason Ave
Daytona Beach, FL 321174611
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Location
1175 Dunlawton Ave Ste 1
Port Orange, FL 321274741
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Location
1865 LPGA BLVD
DAYTONA BEACH, FL 321177108
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $3,253.
Total Amount is formed as General ($3,253) + Research ($0) + Ownership ($0) = $3,253.
Last reported payment date: 2023-05-24 • Largest payer in this snapshot: DePuy Synthes Products, Inc. ($3,238).
Total Amount
$3,253
General + Research + Ownership
Payments
5
Total payment records
General Amount
$3,253
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
2
Ownership records
Last Payment Date
2023-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Products, Inc. | $3,238 |
| Kerecis Limited | $15 |
| Providence Medical Technology, Inc. | $0 |
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: 2010-03-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100311000352 | I | Orthopedic Surgery | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 377 | 296 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 279 | 252 | $0 |
| 73502 | X-ray of hip, 2-3 views | 198 | 141 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 198 | 93 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 180 | 163 | $0 |
Insurance plans in this area (ZIP 32117)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | FL | 20610 | Aspiration and/or injection of large joint or joint capsule | 214 | 146 |
| ORTHOPEDIC SURGERY | FL | 73110 | X-ray of wrist, minimum of 3 views | 56 | 34 |
| ORTHOPEDIC SURGERY | FL | 73562 | X-ray of knee, 3 views | 263 | 159 |
| ORTHOPEDIC SURGERY | FL | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 184 | 80 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | FL | |
| Orthopedic Surgery | FL | |
| Physical Therapist In Private Practice | FL | |
| Physician Assistant | FL | |
| Physical Therapist In Private Practice | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Orthopedic Surgery | FL | |
| Occupational Therapist In Private Practice | FL |
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