MARK SAMUEL CRIDER (M.D.) – Specialist, NPI 1265439624

MARK SAMUEL CRIDER (M.D.) is a healthcare provider. based in Celebration, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. ME90456 (FL). The NPI Number for MARK SAMUEL CRIDER (M.D.) is 1265439624

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
MARK SAMUEL CRIDER (M.D.)
NPI
1265439624
Phone
(407) 566-2229
Address
400 CELEBRATION PL
Enumeration Date
30 June 2005
Last Update Date
22 January 2014

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
4072002700
Graduation Year
1999 (27 years ago)
PAC ID
4880661024
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20040915001216
Address ID
FL327517102MA2600XLNXX300
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

2,538 OBSTETRICS/GYNECOLOGY in FL

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Provider Addresses for MARK SAMUEL CRIDER (M.D.)

  • Florida Hospital Celebration Health, 400, Celebration Place, Kissimmee, Reedy Creek Improvement District, Osceola County, Florida, 34747, United States

    SUITE A-310

    CELEBRATION, FL 347474970

    Phone: (407) 566-2229

    Fax: (407) 566-2499

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Biogen, Inc. ($90).

Total Amount

$90

General + Research + Ownership

Payments

1

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Biogen, Inc.$90
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: 2004-09-15

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
I20040915001216IObstetrics/GynecologyFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34747)

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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: 0749186153View full group profile
NameSpecialtyState
Physician AssistantFL
N E U R O L O G YFL
General SurgeryFL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists)FL
O B S T E T R I C S/ G Y N E C O L O G YMI
Physician AssistantFL

Reviews

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Frequently asked questions

What is the registry number for MARK SAMUEL CRIDER (M.D.)?
The registry entry for MARK SAMUEL CRIDER (M.D.) shows NPI 1265439624.
Should I treat MARK SAMUEL CRIDER (M.D.) as an active provider?
Patients and plans typically see MARK SAMUEL CRIDER (M.D.) as active in the national extract.
What services align with MARK SAMUEL CRIDER (M.D.)'s listing?
MARK SAMUEL CRIDER (M.D.)'s public classification highlights Other Service Providers. Clinical services aligned with this taxonomy classification.
Can patients visit MARK SAMUEL CRIDER (M.D.) in Celebration, Florida?
For routing, start with Celebration, Florida for MARK SAMUEL CRIDER (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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