MARK L TRACH (MD) – Emergency Medicine Physician, NPI 1215045984

MARK L TRACH (MD) is a healthcare provider. based in Orlando, Florida. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. ME38645 (FL). The NPI Number for MARK L TRACH (MD) is 1215045984

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
MARK L TRACH (MD)
NPI
1215045984
Phone
(407) 282-2044
Address
11550 UNIVERSITY BLVD
Enumeration Date
25 August 2006
Last Update Date
10 December 2009

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
4073330160
Graduation Year
1980 (46 years ago)
PAC ID
7113816380
Group Practice PAC ID
8921372558
Professional Enrollment ID
I20050425000722
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

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Provider Addresses for MARK L TRACH (MD)

  • 4 Rivers Smokehouse, 11764, University Boulevard, Orlando, Orange County, Florida, 32817, United States

    ORLANDO, FL 328171805

    Phone: (407) 282-2044

    Fax: (407) 658-1596

    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)

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: 2005-04-25

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
I20050425000722IEmergency MedicineFLTBD

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
99203New patient office or other outpatient visit, 30-44 minutes3030$0
99213Established patient office or other outpatient visit, 20-29 minutes2121$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)2020$0
87804Detection test by immunoassay with direct visual observation for influenza virus1111$0
View full utilization report →

Insurance plans in this area (ZIP 32817)

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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: 8921372558View full group profile

Reviews

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Frequently asked questions

How do payers reference MARK L TRACH (MD)?
For MARK L TRACH (MD), use NPI 1215045984 as the unique 10-digit identifier.
Is MARK L TRACH (MD) shown as active in public data?
Registry records indicate MARK L TRACH (MD) maintains an active NPI.
What kind of doctor is MARK L TRACH (MD)?
MARK L TRACH (MD) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is MARK L TRACH (MD) registered?
Use Orlando, Florida as the headline location for MARK L TRACH (MD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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