DR. MARK A KONIECZNY (D.P.M.) – Podiatrist, NPI 1003896978

DR. MARK A KONIECZNY (D.P.M.) is a healthcare provider. based in Naperville, Illinois. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 016003378 (IL). The NPI Number for DR. MARK A KONIECZNY (D.P.M.) is 1003896978

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK A KONIECZNY (D.P.M.)
NPI
1003896978
Phone
(630) 355-9811
Address
1220 HOBSON RD
Enumeration Date
18 January 2006
Last Update Date
1 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6305483900
Graduation Year
1982 (44 years ago)
PAC ID
4486840154
Group Practice PAC ID
5991900680
Professional Enrollment ID
I20101119000627
Address ID
IL605408138NA1220XRDXX303
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

1,038 PODIATRY in IL

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Provider Addresses for DR. MARK A KONIECZNY (D.P.M.)

  • Hobson Road, Naperville, DuPage County, Illinois, 60517, United States

    STE 248

    NAPERVILLE, IL 605408138

    Phone: (630) 355-9811

    Fax: (630) 548-3905

    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 18 Open Payments records for all available years, with a total value of $326.

Total Amount is formed as General ($326) + Research ($0) + Ownership ($0) = $326.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Kowa Pharmaceuticals America, Inc. ($108).

Total Amount

$326

General + Research + Ownership

Payments

18

Total payment records

General Amount

$326

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2010-11-19

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
I20101119000627IPodiatryILTBD

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
11719Trimming of fingernails or toenails725257$0
11056Removal of noncancer thickened skin growth, 2-4 growths705252$0
97597Removal of tissue from wound, 20.0 sq cm or less3819$0
99213Established patient office or other outpatient visit, 20-29 minutes2315$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes2215$0
View full utilization report →

Insurance plans in this area (ZIP 60540)

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Provider's Procedures

DR. MARK A KONIECZNY (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIL11042Removal of skin and tissue first 20 sq cm or less1715
PODIATRYIL11056Removal of 2 to 4 thickened skin growths847319

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: 5991900680View full group profile
NameSpecialtyState
P O D I A T R YIL
P O D I A T R YIL
P O D I A T R YIL
P O D I A T R YIL

Reviews

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Frequently asked questions

How do payers reference DR. MARK A KONIECZNY (D.P.M.)?
For DR. MARK A KONIECZNY (D.P.M.), use NPI 1003896978 as the unique 10-digit identifier.
Would DR. MARK A KONIECZNY (D.P.M.) appear as active to a payer?
You can treat DR. MARK A KONIECZNY (D.P.M.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. MARK A KONIECZNY (D.P.M.)?
DR. MARK A KONIECZNY (D.P.M.)'s record emphasizes Podiatrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MARK A KONIECZNY (D.P.M.)?
Travel planning: use Naperville, Illinois as the reference point for DR. MARK A KONIECZNY (D.P.M.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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