DR. MARK L MUDANO (M.D.) – Orthopaedic Surgery Physician, NPI 1487759650
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MARK L MUDANO (M.D.)
300 Medical Dr Ste 707
LaGrange, GA 302404130
Phone: (706) 880-7320
Fax: (706) 812-2640
Type: Location
599 3rd Ave
West Point, GA 318331523
Phone: (706) 242-5081
Fax: (770) 999-2887
Type: Location
75 BEEKMAN ST
PLATTSBURGH, NY 129011438
Phone: (518) 561-2000
Type: Mailing
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 302742615
Phone: (770) 897-7033
Fax: (770) 996-3941
Type: Location
818, Lake Redman Court, Logan's Reserve, Seven Valleys, York County, Pennsylvania, 17360, United States
SPRINGFIELD, GA 313290818
Phone: (912) 754-0185
Type: Mailing
Victory Drive, Swainsboro, Emanuel County, Georgia, 30401, United States
SWAINSBORO, GA 304013235
Phone: (478) 237-3291
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20041202000565 | I | Orthopedic Surgery | SC | TBD |
| I20041208000871 | I | Orthopedic Surgery | GA | TBD |
| I20170919004079 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 51 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 35 | $0 |
Insurance plans in this area (ZIP 30240)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | FL | 20610 | Aspiration and/or injection of large joint or joint capsule | 52 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Thoracic Surgery, Cardiac Surgery, Vascular Surgery | GA | |
| Emergency Medicine | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine, Hospice/Palliative Care, Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| P S Y C H I A T R Y | GA | |
| Physician Assistant | GA |
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