MARK PAUL PRESTON (M.D., J.D.) – Diagnostic Radiology Physician, NPI 1396729810
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,175 DIAGNOSTIC RADIOLOGY in FL
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Provider Addresses for MARK PAUL PRESTON (M.D., J.D.)
122, 4th Avenue, Indialantic, Brevard County, Florida, 32903, United States
SUITE 100
INDIALANTIC, FL 329033112
Phone: (321) 409-0667
Fax: (321) 409-0668
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 2 Open Payments records for all available years, with a total value of $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2024-03-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($21).
Total Amount
$37
General + Research + Ownership
Payments
2
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $21 |
| Mycovia Pharmaceuticals, Inc. | $16 |
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: 2024-05-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20040129000570 | I | Diagnostic Radiology | FL | TBD |
| I20220311001523 | I | Diagnostic Radiology | NY | TBD |
| I20240202001406 | I | Diagnostic Radiology | MD | TBD |
| I20240529000561 | I | Diagnostic Radiology | MA | 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 |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 16,310 | 99 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 15,701 | 153 | $0 |
| 77063 | Screening 3d breast mammography | 882 | 882 | $0 |
| 77067 | Screening mammography | 879 | 879 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 362 | 361 | $0 |
Insurance plans in this area (ZIP 32903)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | FL | 76830 | Ultrasound pelvis through vagina | 32 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| N E U R O S U R G E R Y | NY | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| N E U R O S U R G E R Y | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physical Therapist In Private Practice | FL |
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