MR. MARK S TRACY (DPM) – Podiatrist, NPI 1962436030

MR. MARK S TRACY (DPM) is a healthcare provider. based in Port charlotte, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO1878 (FL). The NPI Number for MR. MARK S TRACY (DPM) is 1962436030

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARK S TRACY (DPM)
NPI
1962436030
Phone
(941) 627-6366
Address
3028 CARING WAY
Enumeration Date
11 July 2006
Last Update Date
28 July 2010

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
9414938666
Graduation Year
1987 (39 years ago)
PAC ID
9739183336
Group Practice PAC ID
1759521933
Professional Enrollment ID
I20100625000437
Address ID
FL342931630VE115XXBLVD300
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

1,444 PODIATRY in FL

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Provider Addresses for MR. MARK S TRACY (DPM)

  • 3028, Caring Way, Port Charlotte, Charlotte County, Florida, 33952, United States

    STE 9

    PORT CHARLOTTE, FL 339525300

    Phone: (941) 627-6366

    Fax: (941) 627-6677

    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 3 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Organogenesis Inc. ($64).

Total Amount

$83

General + Research + Ownership

Payments

3

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2010-06-25

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
I20100625000437IPodiatryFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes784330$0
73630X-ray of foot, minimum of 3 views345203$0
11721Removal of fingernails or toenails, 6 or more nails316139$0
99214Established patient office or other outpatient visit, 30-39 minutes222127$0
99204New patient office or other outpatient visit, 45-59 minutes110110$0
View full utilization report →

Insurance plans in this area (ZIP 33952)

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Provider's Procedures

MR. MARK S TRACY (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYFL11042Removal of skin and tissue first 20 sq cm or less3922

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: 1759521933View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm MR. MARK S TRACY (DPM)'s NPI?
Yes. MR. MARK S TRACY (DPM) is listed with NPI 1962436030 in the public NPI dataset.
Does CMS list MR. MARK S TRACY (DPM) as active?
Yes — MR. MARK S TRACY (DPM) is active in the NPI listing used on this page.
What healthcare role does MR. MARK S TRACY (DPM) hold?
Scheduling teams often label MR. MARK S TRACY (DPM) under Podiatrist. Clinical services aligned with this taxonomy classification.
What address line appears for MR. MARK S TRACY (DPM)?
MR. MARK S TRACY (DPM)'s geographic hint is Port Charlotte, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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