MARK W MINOR (MD) – Allergy Physician, NPI 1982609657

MARK W MINOR (MD) is a healthcare provider. based in Melbourne, Florida. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. ME0045859 (FL). The NPI Number for MARK W MINOR (MD) is 1982609657

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
MARK W MINOR (MD)
NPI
1982609657
Phone
(321) 757-5550
Address
2290 W EAU GALLIE BLVD
Enumeration Date
17 June 2005
Last Update Date
19 March 2025

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
1456317775
Professional Enrollment ID
I20041208000133
Address ID
FL329353166ME2200XBLVD503
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

274 ALLERGY/IMMUNOLOGY in FL

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Provider Addresses for MARK W MINOR (MD)

  • 2290, West Eau Gallie Boulevard, Melbourne, Brevard County, Florida, 32935, United States

    STE 205

    MELBOURNE, FL 329353133

    Phone: (321) 757-5550

    Fax: (321) 255-5552

    Type: Mailing

  • 3021 W EAU GALLIE BLVD STE 102

    MELBOURNE, FL 329347005

    Phone: (321) 757-5550

    Fax: (321) 255-5552

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 206 Open Payments records for all available years, with a total value of $4,890.

Total Amount is formed as General ($4,890) + Research ($0) + Ownership ($0) = $4,890.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($748).

Total Amount

$4,890

General + Research + Ownership

Payments

206

Total payment records

General Amount

$4,890

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2004-12-08

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
I20041208000133IAllergy/ImmunologyFLTBD

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
95004Test for allergy using allergenic extract2,14643$0
95165Professional service for preparation and provision of 1 or more antigens75525$0
99213Established patient office or other outpatient visit, 20-29 minutes593325$0
96401Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle20023$0
95117Professional service for multiple injections of allergen19814$0
View full utilization report →

Insurance plans in this area (ZIP 32935)

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Provider's Procedures

MARK W MINOR (MD) performs procedures in ALLERGY/IMMUNOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ALLERGY/IMMUNOLOGYFL95004Injection of allergenic extracts into skin, accessed through the skin282653

Reviews

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Frequently asked questions

What NPI should I save for MARK W MINOR (MD)?
Save NPI 1982609657 if you need a stable reference for MARK W MINOR (MD).
Does this profile mean MARK W MINOR (MD) is currently active?
Yes — MARK W MINOR (MD) appears active in the national provider directory.
What field does MARK W MINOR (MD) work in?
You can think of MARK W MINOR (MD) as practicing within Allergy Physician. Clinical services aligned with this taxonomy classification.
Does MARK W MINOR (MD) practice in Florida?
You will see Melbourne, Florida on file for MARK W MINOR (MD) alongside any extra practice locations.
What if Melbourne, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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