MARK WILLIAM WHITE (M.D.) – Surgery Physician, NPI 1477559631
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,163 GENERAL SURGERY in FL
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Provider Addresses for MARK WILLIAM WHITE (M.D.)
San Jose Boulevard, San Jose, Jacksonville, Duval County, Florida, 32217, United States
STE 300
JACKSONVILLE, FL 322231627
Phone: (904) 396-1725
Fax: (904) 396-4893
Type: Mailing
103 MEMORIAL MEDICAL PKWY STE 125
DAYTONA BEACH, FL 321175672
Phone: (386) 274-0250
Fax: (386) 274-0269
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 83 Open Payments records for all available years, with a total value of $12,594.
Total Amount is formed as General ($12,594) + Research ($0) + Ownership ($0) = $12,594.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($10,275).
Total Amount
$12,594
General + Research + Ownership
Payments
83
Total payment records
General Amount
$12,594
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $10,275 |
| W. L. Gore & Associates, Inc. | $812 |
| Dilon Technologies, Inc. | $215 |
| Daiichi Sankyo Inc. | $210 |
| AstraZeneca Pharmaceuticals LP | $139 |
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: 2004-10-19
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 |
|---|---|---|---|---|
| I20041019000283 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 119 | 96 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 58 | 58 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 34 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 26 | 26 | $0 |
| 43282 | Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope | 16 | 16 | $0 |
Insurance plans in this area (ZIP 32223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | PA | |
| Otolaryngology, General Surgery | FL | |
| O T O L A R Y N G O L O G Y | KY | |
| General Surgery, Critical Care (Intensivists) | FL | |
| Orthopedic Surgery | FL | |
| Otolaryngology, Sleep Medicine | FL | |
| General Surgery | FL | |
| General Surgery | FL | |
| O P H T H A L M O L O G Y | FL | |
| Pain Management | FL |
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