DR. MARK R LICHT (M.D.) – Urology Physician, NPI 1306841473
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
897 UROLOGY in FL
Provider Addresses for DR. MARK R LICHT (M.D.)
Century Medical Drive, Titusville, Brevard County, Florida, 32796, United States
TITUSVILLE, FL 327962100
Phone: (321) 268-6868
Fax: (321) 267-2713
Type: Mailing
258 S CHICKASAW TRL STE 202
ORLANDO, FL 328253501
Phone: (407) 303-6865
Fax: (407) 303-6537
Type: Location
825 Century Medical Dr
Titusville, FL 327962113
Phone: (321) 268-6868
Fax: (321) 267-2713
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 82 Open Payments records for all available years, with a total value of $1,953.
Total Amount is formed as General ($1,953) + Research ($0) + Ownership ($0) = $1,953.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Endo Pharmaceuticals Inc. ($584).
Total Amount
$1,953
General + Research + Ownership
Payments
82
Total payment records
General Amount
$1,953
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Endo Pharmaceuticals Inc. | $584 |
| Endo USA, Inc. | $260 |
| Boston Scientific Corporation | $191 |
| Axonics, Inc. | $132 |
| Blue Earth Diagnostics Limited | $106 |
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: 2007-03-05
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 |
|---|---|---|---|---|
| I20070305000499 | I | Urology | 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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1,300 | 12 | $0 |
| 81003 | Automated urinalysis test | 698 | 470 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 546 | 318 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 325 | 279 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 205 | 165 | $0 |
Insurance plans in this area (ZIP 32796)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| N E U R O L O G Y | FL | |
| General Surgery | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | FL | |
| Nurse Practitioner | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| General Surgery | FL | |
| 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 Y | MI | |
| Physician Assistant | FL |
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