MARK MATTESON FOGG (DCNP, FNP, APRN) – Nurse Practitioner, NPI 1194123729
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MARK MATTESON FOGG (DCNP, FNP, APRN)
1019 FLORA VISTA ST
TRINITY, FL 346557025
Phone: (727) 698-3963
Type: Location
151 SOUTHHALL LN STE 300
MAITLAND, FL 327517172
Phone: (407) 875-2080
Fax: (407) 650-3455
Type: Mailing
10820 SHELDON RD
TAMPA, FL 336265117
Phone: (813) 880-7546
Fax: (813) 249-5210
Type: Mailing
5060 COMMERCIAL WAY
SPRING HILL, FL 346061927
Phone: (352) 835-5823
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $1,104.
Total Amount is formed as General ($1,104) + Research ($0) + Ownership ($0) = $1,104.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($368).
Total Amount
$1,104
General + Research + Ownership
Payments
52
Total payment records
General Amount
$1,104
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $368 |
| UCB, Inc. | $123 |
| Novartis Pharmaceuticals Corporation | $96 |
| Amgen Inc. | $85 |
| Regeneron Healthcare Solutions, Inc. | $60 |
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: 2016-12-28
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 |
|---|---|---|---|---|
| I20161228001102 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 128 | 72 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 103 | 42 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 93 | 11 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 92 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 78 | 51 | $0 |
Insurance plans in this area (ZIP 34655)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MD | |
| - | FL | |
| Plastic And Reconstructive Surgery | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.