DR. MARK H MIDDLETON (MD) – Surgery Physician, NPI 1710977202
Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,092 GENERAL SURGERY in GA
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Provider Addresses for DR. MARK H MIDDLETON (MD)
2500, Hospital Boulevard, Roswell, Fulton County, Georgia, 30076, United States
SUITE 420
ROSWELL, GA 300764919
Phone: (770) 410-4661
Fax: (770) 410-4664
Type: Location
2500 Hospital Boulevard
Suite 420
Roswell, GA 300764919
Phone: (770) 410-4661
Fax: (770) 410-4664
Type: Location
1500 SW 10th Ave
Topeka, KS 666041301
Phone: (785) 354-6000
Type: Location
1199 PRINCE AVE
ATHENS, GA 306062797
Phone: (706) 475-5076
Type: Location
PO BOX 100460
ATLANTA, GA 303840460
Phone: (770) 410-4661
Fax: (770) 410-4664
Type: Mailing
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: 2024-10-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20041027000371 | I | General Surgery | GA | TBD |
| I20220126001200 | I | Critical Care (Intensivists) | AL | TBD |
| I20240220002837 | I | General Surgery | KS | TBD |
| I20241011001208 | I | General Surgery | NE | TBD |
| I20241031003361 | I | General Surgery | ME | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 30076)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ME | |
| Nurse Practitioner | ME | |
| Certified Registered Nurse Anesthetist (Crna) | ME | |
| Cardiovascular Disease (Cardiology) | ME | |
| Endocrinology, Internal Medicine | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| Thoracic Surgery | ME | |
| H O S P I T A L I S T | ME | |
| - | NJ |
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