MARK E HOLLINGSHEAD (M.D.) – Ophthalmology Physician, NPI 1689670911

MARK E HOLLINGSHEAD (M.D.) is a healthcare provider. based in Boise, Idaho. specializing in Ophthalmology Physician. They hold the professional credentials M.D.. They hold a License No. M6436 (ID). The NPI Number for MARK E HOLLINGSHEAD (M.D.) is 1689670911

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
MARK E HOLLINGSHEAD (M.D.)
NPI
1689670911
Phone
(208) 336-8700
Address
360 E MALLARD DR
Enumeration Date
22 June 2005
Last Update Date
8 April 2008

Doctor Profile

Medical School Name
IRVINE CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
2083368700
Graduation Year
1987 (39 years ago)
PAC ID
4789628165
Group Practice PAC ID
9830133214
Professional Enrollment ID
I20101222001004
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MARK E HOLLINGSHEAD (M.D.)

  • 360, East Mallard Drive, Boise, Ada County, Idaho, 83706, United States

    STE 110

    BOISE, ID 837063945

    Phone: (208) 336-8700

    Fax: (208) 426-0902

    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 27 Open Payments records for all available years, with a total value of $1,212.

Total Amount is formed as General ($1,212) + Research ($0) + Ownership ($0) = $1,212.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($513).

Total Amount

$1,212

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,212

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-12-22

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
I20101222001004IOphthalmologyIDTBD

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
92136Measurement of corneal curvature and depth of eye536336$0
66984Removal of cataract with insertion of prosthetic lens505315$0
66821Removal of recurring cataract in lens capsule using a laser276206$0
99214Established patient office or other outpatient visit, 30-39 minutes174173$0
92014Established patient complete exam of visual system139134$0
View full utilization report →

Insurance plans in this area (ZIP 83706)

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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: 9830133214View full group profile
NameSpecialtyState
O P T O M E T R YID
O P H T H A L M O L O G YWA
O P T O M E T R YID
O P H T H A L M O L O G YTX
O P T O M E T R YID
O P H T H A L M O L O G YID

Reviews

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Frequently asked questions

Is there an official ID for MARK E HOLLINGSHEAD (M.D.) in U.S. healthcare records?
The official identifier for MARK E HOLLINGSHEAD (M.D.) is NPI 1689670911.
Active or inactive — what applies to MARK E HOLLINGSHEAD (M.D.)?
You should see MARK E HOLLINGSHEAD (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe MARK E HOLLINGSHEAD (M.D.)'s focus?
For MARK E HOLLINGSHEAD (M.D.), the primary taxonomy reads as Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is MARK E HOLLINGSHEAD (M.D.) located near Boise?
MARK E HOLLINGSHEAD (M.D.) currently maps to Boise, Idaho in this extract.
Can I trust this NPI listing for MARK E HOLLINGSHEAD (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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