MARK PIETZ (D.P.M.) – Podiatrist, NPI 1053310482

MARK PIETZ (D.P.M.) is a healthcare provider. based in Chicago, Illinois. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 016003670 (IL). The NPI Number for MARK PIETZ (D.P.M.) is 1053310482

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MARK PIETZ (D.P.M.)
NPI
1053310482
Phone
(773) 296-7160
Address
3000 N HALSTED ST
Enumeration Date
18 July 2005
Deactivation Date
20 March 2006
Reactivation Date
28 April 2006
Last Update Date
28 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7732967160
Graduation Year
1984 (42 years ago)
PAC ID
7719881887
Group Practice PAC ID
4486558640
Professional Enrollment ID
I20040123000009
Address ID
IL606579269CH3000XSTXX406
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 MARK PIETZ (D.P.M.)

  • Illinois Masonic Medical Center, 3000, North Halsted Street, Boystown, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60657, United States

    SUITE 821

    CHICAGO, IL 606575188

    Phone: (773) 296-7160

    Fax: (773) 296-3440

    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 1 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2024-07-20 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($41).

Total Amount

$41

General + Research + Ownership

Payments

1

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$41
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: 2004-01-23

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
I20040123000009IPodiatryILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes735273$0
99203New patient office or other outpatient visit, 30-44 minutes110110$0
11720Removal of fingernails or toenails, 1-5 nails4125$0
97597Removal of tissue from wound, 20.0 sq cm or less4114$0
11721Removal of fingernails or toenails, 6 or more nails2115$0
View full utilization report →

Insurance plans in this area (ZIP 60657)

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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: 4486558640View full group profile
NameSpecialtyState
-IL
P O D I A T R YMI

Reviews

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Frequently asked questions

What unique ID ties claims to MARK PIETZ (D.P.M.)?
NPI 1053310482 is assigned to MARK PIETZ (D.P.M.) under the national enumeration system.
Does this profile mean MARK PIETZ (D.P.M.) is currently active?
Yes — MARK PIETZ (D.P.M.) appears active in the national provider directory.
What kind of provider is MARK PIETZ (D.P.M.)?
The page reflects Podiatrist for MARK PIETZ (D.P.M.). Clinical services aligned with this taxonomy classification.
What location metadata exists for MARK PIETZ (D.P.M.)?
The page summarizes Chicago, Illinois for MARK PIETZ (D.P.M.); expand the address list for detail.
How can I contact MARK PIETZ (D.P.M.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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