DR. MARK H WIDICK (MD) – Specialist, NPI 1871557629

DR. MARK H WIDICK (MD) is a healthcare provider. based in Delray beach, Florida. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. ME65602 (FL). The NPI Number for DR. MARK H WIDICK (MD) is 1871557629

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK H WIDICK (MD)
NPI
1871557629
Phone
(561) 391-3333
Address
5130 LINTON BLVD STE E2
Enumeration Date
17 April 2006
Last Update Date
4 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
7214986983
Group Practice PAC ID
0042292849
Professional Enrollment ID
I20050120000042
Address ID
FL334872768BO1601XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

732 OTOLARYNGOLOGY in FL

Provider Addresses for DR. MARK H WIDICK (MD)

  • 5130 LINTON BLVD STE E2

    DELRAY BEACH, FL 334846595

    Phone: (561) 391-3333

    Fax: (561) 391-5618

    Type: Location

  • 900, Northwest 13th Street, Boca Raton, Palm Beach County, Florida, 33486, United States

    SUITE 206

    BOCA RATON, FL 334862350

    Phone: (561) 338-3267

    Fax: (561) 391-4420

    Type: Mailing

  • Clint Moore Road, Boca Raton, Palm Beach County, Florida, 33447, United States

    SUITE 105

    BOCA RATON, FL 334872768

    Phone: (561) 391-3333

    Fax: (561) 391-5618

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $488.

Total Amount is formed as General ($488) + Research ($0) + Ownership ($0) = $488.

Last reported payment date: 2024-04-04 • Largest payer in this snapshot: Advanced Bionics, LLC ($147).

Total Amount

$488

General + Research + Ownership

Payments

8

Total payment records

General Amount

$488

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-04

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: 2005-01-20

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
I20050120000042IOtolaryngologyFLTBD

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
J0585Injection, onabotulinumtoxina, 1 unit45821$0
99214Established patient office or other outpatient visit, 30-39 minutes443303$0
69210Removal of impacted ear wax377247$0
99213Established patient office or other outpatient visit, 20-29 minutes265211$0
69222Complex removal of skin debris and drainage of mastoid cavity25497$0
View full utilization report →

Insurance plans in this area (ZIP 33484)

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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: 0042292849View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
Physician AssistantWI
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
Qualified AudiologistFL
Physician AssistantFL
O T O L A R Y N G O L O G YFL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MARK H WIDICK (MD)'s NPI?
Yes. DR. MARK H WIDICK (MD) is listed with NPI 1871557629 in the public NPI dataset.
Is DR. MARK H WIDICK (MD) still practicing?
DR. MARK H WIDICK (MD) is currently listed as active in the public NPI registry.
What healthcare role does DR. MARK H WIDICK (MD) hold?
Scheduling teams often label DR. MARK H WIDICK (MD) under Other Service Providers. Clinical services aligned with this taxonomy classification.
Where is DR. MARK H WIDICK (MD) based?
DR. MARK H WIDICK (MD) is tied to Delray Beach, Florida in the data we show; additional addresses may exist on the full record.
Is the information about DR. MARK H WIDICK (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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