DR. MARK J RIVELLESE (M.D.) – Ophthalmology Physician, NPI 1891798039

DR. MARK J RIVELLESE (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 050911 (GA). The NPI Number for DR. MARK J RIVELLESE (M.D.) is 1891798039

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK J RIVELLESE (M.D.)
NPI
1891798039
Phone
(404) 255-9096
Address
1100 JOHNSON FERRY RD NE
Enumeration Date
23 May 2005
Last Update Date
12 February 2010

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
4042559096
Graduation Year
1994 (32 years ago)
PAC ID
6204853138
Group Practice PAC ID
1254328248
Professional Enrollment ID
I20100908000149
Address ID
GA303421733SA1100XNEXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

570 OPHTHALMOLOGY in GA

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Provider Addresses for DR. MARK J RIVELLESE (M.D.)

  • Mirzabeigi Atlanta Plastic Surgery, 975, Johnson Ferry Road Northeast, Ridgeview Forest, Atlanta, Fulton County, Georgia, 30342, United States

    SUITE 593

    ATLANTA, GA 303421709

    Phone: (404) 255-9096

    Fax: (404) 255-9097

    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 56 Open Payments records for all available years, with a total value of $2,845.

Total Amount is formed as General ($2,845) + Research ($0) + Ownership ($0) = $2,845.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Genentech USA, Inc. ($783).

Total Amount

$2,845

General + Research + Ownership

Payments

56

Total payment records

General Amount

$2,845

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-11-25

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: 2010-09-08

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
I20100908000149IOphthalmologyGATBD

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
J2777Injection, faricimab-svoa, 0.1 mg20,34082$0
92134Imaging of retina2,120750$0
J2778Injection, ranibizumab, 0.1 mg1,69265$0
67028Injection of drug into eye1,335285$0
J0178Injection, aflibercept, 1 mg1,272110$0
View full utilization report →

Insurance plans in this area (ZIP 30342)

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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: 1254328248View full group profile
NameSpecialtyState
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YGA
-GA
O P H T H A L M O L O G YIL

Reviews

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Frequently asked questions

Can I cross-check DR. MARK J RIVELLESE (M.D.) using NPI 1891798039?
NPI 1891798039 belongs to DR. MARK J RIVELLESE (M.D.); compare other details if you need extra assurance.
Is DR. MARK J RIVELLESE (M.D.) still an active registrant?
DR. MARK J RIVELLESE (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. MARK J RIVELLESE (M.D.)'s focus?
For DR. MARK J RIVELLESE (M.D.), the primary taxonomy reads as Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MARK J RIVELLESE (M.D.)?
Directory geography for DR. MARK J RIVELLESE (M.D.) centers on Atlanta, Georgia.
Can I trust this NPI listing for DR. MARK J RIVELLESE (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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