MARK MCMULLEN (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1740203389

MARK MCMULLEN (M.D.) is a healthcare provider. based in Homosassa springs, Florida. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. ME49726 (FL). The NPI Number for MARK MCMULLEN (M.D.) is 1740203389

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
MARK MCMULLEN (M.D.)
NPI
1740203389
Phone
(352) 621-3100
Address
PO BOX 2030
Enumeration Date
25 July 2006
Last Update Date
20 March 2019

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
3523502095
Graduation Year
1985 (41 years ago)
PAC ID
9133144470
Group Practice PAC ID
5799906996
Professional Enrollment ID
I20051006000190
Address ID
FL344714461OC1500XEXTX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

960 PATHOLOGY in FL

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Provider Addresses for MARK MCMULLEN (M.D.)

  • PO BOX 2030

    HOMOSASSA SPRINGS, FL 344472030

    Phone: (352) 621-3100

    Fax: (352) 621-3121

    Type: Mailing

  • Suncoast Boulevard, Cutlers, Crystal River, Citrus County, Florida, 34429, United States

    CRYSTAL RIVER, FL 344286712

    Phone: (352) 621-3100

    Fax: (352) 621-3121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-10-06

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
I20051006000190IPathologyFLTBD

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
88312Special stained specimen slides to identify organisms including interpretation and report881406$0
88305Pathology examination of tissue using a microscope, intermediate complexity441405$0
View full utilization report →

Insurance plans in this area (ZIP 34447)

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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: 5799906996View full group profile
NameSpecialtyState
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL

Reviews

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Frequently asked questions

How do payers reference MARK MCMULLEN (M.D.)?
For MARK MCMULLEN (M.D.), use NPI 1740203389 as the unique 10-digit identifier.
Is there an active status for MARK MCMULLEN (M.D.)?
For scheduling context, MARK MCMULLEN (M.D.) is shown as active in the registry.
What area of care is associated with MARK MCMULLEN (M.D.)?
MARK MCMULLEN (M.D.)'s record emphasizes Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is MARK MCMULLEN (M.D.) registered?
Use Homosassa Springs, Florida as the headline location for MARK MCMULLEN (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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