MARK G BANDYK (MD) – Urology Physician, NPI 1790778009
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
898 UROLOGY in FL
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Provider Addresses for MARK G BANDYK (MD)
Lakeland Regional Health Medical Center, 1324, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States
ATTN: MEDICAL STAFF OFFICE
LAKELAND, FL 338054543
Phone:
Type: Mailing
Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States
LAKELAND, FL 338051965
Phone: (863) 603-6565
Fax: (863) 904-1961
Type: Location
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 $111.
Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Ambu Inc. ($85).
Total Amount
$111
General + Research + Ownership
Payments
2
Total payment records
General Amount
$111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ambu Inc. | $85 |
| Boston Scientific Corporation | $27 |
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: 2004-07-12
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 |
|---|---|---|---|---|
| I20040712000826 | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 320 | 243 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 292 | 236 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 132 | 132 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 119 | 91 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 104 | 93 | $0 |
Insurance plans in this area (ZIP 33805)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | MN | |
| Physician Assistant | FL | |
| Diagnostic Radiology | FL | |
| Internal Medicine | FL | |
| - | FL | |
| Clinical Psychologist | FL | |
| U R O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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