AMANDA MARN (M.D.) – Military Health Care Provider, NPI 1790006286

AMANDA MARN (M.D.) is a healthcare provider. based in Fort gordon, Georgia. specializing in INTERNAL MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 85491-20 (WI). The NPI Number for AMANDA MARN (M.D.) is 1790006286

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MARN (M.D.)
NPI
1790006286
Phone
Not provided
Address
300 W HOSPITAL RD
Enumeration Date
18 June 2010
Last Update Date
8 April 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8086366393
Graduation Year
2010 (16 years ago)
PAC ID
4880835354
Group Practice PAC ID
0547691768
Professional Enrollment ID
I20210517002710
Address ID
HI967443728KA46001HWYX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

818 INTERNAL MEDICINE in HI

Provider Addresses for AMANDA MARN (M.D.)

  • 300 W HOSPITAL RD

    FORT GORDON, GA 309055741

    Phone:

    Type: Mailing

  • 1 JARRETT WHITE RD

    TRIPLER ARMY MEDICAL CENTER, HI 968595001

    Phone: (808) 433-6403

    Type: Location

  • 221 Mahalani St

    Wailuku, HI 967932526

    Phone: (808) 244-9056

    Type: Location

  • 700 S Park St Ste A

    Madison, WI 537151830

    Phone: (608) 260-2900

    Fax: (608) 260-2956

    Type: Location

  • 210 IMI KALA ST STE 209

    WAILUKU, HI 967931274

    Phone: (808) 673-5778

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $914.

Total Amount is formed as General ($914) + Research ($0) + Ownership ($0) = $914.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: PFIZER INC. ($251).

Total Amount

$914

General + Research + Ownership

Payments

37

Total payment records

General Amount

$914

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2025-08-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210517002710ICardiovascular Disease (Cardiology)HITBD
I20250221001782ICardiovascular Disease (Cardiology)WITBD
I20250801003036ICardiovascular Disease (Cardiology)WATBD

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
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1,092486$0
99214Established patient office or other outpatient visit, 30-39 minutes979443$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function285266$0
93356Heart muscle strain imaging246229$0
763763d radiographic procedure238222$0
View full utilization report →

Insurance plans in this area (ZIP 30905)

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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: 0547691768View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MD
Thoracic SurgeryHI
Cardiovascular Disease (Cardiology)HI
Cardiovascular Disease (Cardiology)HI
Cardiovascular Disease (Cardiology), Internal MedicineHI
Thoracic SurgeryNV

Reviews

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Frequently asked questions

Does AMANDA MARN (M.D.) have a public NPI I can cite?
Public records show AMANDA MARN (M.D.) under NPI 1790006286.
Is AMANDA MARN (M.D.)'s NPI status active today?
Active status means AMANDA MARN (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say AMANDA MARN (M.D.) does?
Insurance directories may phrase it differently, but here AMANDA MARN (M.D.) maps to Military Health Care Provider. Clinical services aligned with this taxonomy classification.
What geographic area is tied to AMANDA MARN (M.D.)?
AMANDA MARN (M.D.) is associated with Fort Gordon, Georgia in the same public data insurers reference.
Why is information missing for AMANDA MARN (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.