MARK JOLLY (M.D.) – Family Medicine Physician, NPI 1841460946

MARK JOLLY (M.D.) is a healthcare provider. based in Bradenton, Florida. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. ME 100262 (FL). The NPI Number for MARK JOLLY (M.D.) is 1841460946

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MARK JOLLY (M.D.)
NPI
1841460946
Phone
(941) 713-0728
Address
4201 14TH AVE E
Enumeration Date
4 March 2008
Last Update Date
23 June 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417465111
Graduation Year
2005 (21 years ago)
PAC ID
9739253485
Group Practice PAC ID
9830420819
Professional Enrollment ID
I20080730000187
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for MARK JOLLY (M.D.)

  • 4201, 14th Avenue East, Bradenton, Manatee County, Florida, 34208, United States

    BRADENTON, FL 342085815

    Phone: (941) 713-0728

    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 7 Open Payments records for all available years, with a total value of $279.

Total Amount is formed as General ($279) + Research ($0) + Ownership ($0) = $279.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Boston Scientific Corporation ($145).

Total Amount

$279

General + Research + Ownership

Payments

7

Total payment records

General Amount

$279

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-07-30

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
I20080730000187IFamily PracticeFLTBD

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
99285Emergency department visit with high level of medical decision making9793$0
99203New patient office or other outpatient visit, 30-44 minutes6262$0
99213Established patient office or other outpatient visit, 20-29 minutes4845$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4040$0
99284Emergency department visit with moderate level of medical decision making2424$0
View full utilization report →

Insurance plans in this area (ZIP 34208)

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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: 9830420819View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm MARK JOLLY (M.D.)'s NPI?
Yes. MARK JOLLY (M.D.) is listed with NPI 1841460946 in the public NPI dataset.
Does the file indicate MARK JOLLY (M.D.) is practicing under active NPI?
Directory data currently reports MARK JOLLY (M.D.) as active.
What healthcare role does MARK JOLLY (M.D.) hold?
Scheduling teams often label MARK JOLLY (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MARK JOLLY (M.D.)?
MARK JOLLY (M.D.)'s geographic hint is Bradenton, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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