MARK J. MENDOLLA (MD) – Cardiovascular Disease Physician, NPI 1679559199

MARK J. MENDOLLA (MD) is a healthcare provider. based in Melbourne, Florida. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. ME67965 (FL). The NPI Number for MARK J. MENDOLLA (MD) is 1679559199

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
MARK J. MENDOLLA (MD)
NPI
1679559199
Phone
(321) 312-3496
Address
1223 GATEWAY DR STE 2F
Enumeration Date
16 December 2005
Last Update Date
2 January 2025

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
3217254500
Graduation Year
1989 (37 years ago)
PAC ID
5395890222
Group Practice PAC ID
7416100672
Professional Enrollment ID
I20090828000372
Address ID
FL329012607ME1223XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,521 CARDIOVASCULAR DISEASE (CARDIOLOGY) in FL

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Provider Addresses for MARK J. MENDOLLA (MD)

  • Gateway Drive, Melbourne, Brevard County, Florida, 32910, United States

    MELBOURNE, FL 32901

    Phone: (321) 312-3496

    Fax: (321) 409-2517

    Type: Location

  • Health First Business Center (Bldg A), 3300, South Fiske Boulevard, Rockledge, Brevard County, Florida, 32955, United States

    ROCKLEDGE, FL 329554306

    Phone:

    Type: Mailing

  • 1223 GATEWAY DR

    MELBOURNE, FL 329012607

    Phone: (321) 312-3496

    Fax: (321) 409-2517

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,973.

Total Amount is formed as General ($1,973) + Research ($0) + Ownership ($0) = $1,973.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($1,221).

Total Amount

$1,973

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,973

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

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: 2009-08-28

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
I20090828000372ICardiovascular Disease (Cardiology)FLTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4,6392,930$0
J0153Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)2,37346$0
99214Established patient office or other outpatient visit, 30-39 minutes1,501867$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,136328$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report819734$0
View full utilization report →

Insurance plans in this area (ZIP 32901)

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Provider's Procedures

MARK J. MENDOLLA (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)FL85610Blood test, clotting time62996
CARDIOVASCULAR DISEASE (CARDIOLOGY)FL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report180110
CARDIOVASCULAR DISEASE (CARDIOLOGY)FL93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart6662

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: 7416100672View full group profile
NameSpecialtyState
-FL
General SurgeryFL
Internal MedicineFL
-FL
-FL
Physical Medicine And RehabilitationFL
Family PracticeFL
G A S T R O E N T E R O L O G YFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find MARK J. MENDOLLA (MD)'s NPI?
You can confirm MARK J. MENDOLLA (MD) with NPI 1679559199; it appears in the national provider directory.
Is MARK J. MENDOLLA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MARK J. MENDOLLA (MD)?
The page reflects Cardiovascular Disease Physician for MARK J. MENDOLLA (MD). Clinical services aligned with this taxonomy classification.
Does MARK J. MENDOLLA (MD) practice in Florida?
You will see Melbourne, Florida on file for MARK J. MENDOLLA (MD) alongside any extra practice locations.
What if Melbourne, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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