DR. DAVID MARC CIVITARESE (DO) – Physical Medicine & Rehabilitation Physician, NPI 1063048676

DR. DAVID MARC CIVITARESE (DO) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DO. They hold a License No. 125.077388 (IL). The NPI Number for DR. DAVID MARC CIVITARESE (DO) is 1063048676

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID MARC CIVITARESE (DO)
NPI
1063048676
Phone
Not provided
Address
420 E SUPERIOR ST STE 9-900
Enumeration Date
14 March 2020
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
8015876336
Graduation Year
2021 (5 years ago)
PAC ID
6901286947
Group Practice PAC ID
2961726831
Professional Enrollment ID
I20250702004481
Address ID
UT841320100SA50XXXDRXX426
Telehealth
Yes

Contacts

Secure Messaging
dcivitarese756061@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness95
Years active:6State licenses:1Other names

596 PHYSICAL MEDICINE AND REHABILITATION in IL

Provider Addresses for DR. DAVID MARC CIVITARESE (DO)

  • 420 E SUPERIOR ST STE 9-900

    CHICAGO, IL 606114494

    Phone:

    Type: Mailing

  • 3200 S UNIVERSITY DR

    DAVIE, FL 333282018

    Phone:

    Type: Mailing

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 $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: Merz Pharmaceuticals, LLC ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

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: 2025-07-02

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
I20250702004481IPhysical Medicine And RehabilitationUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60611)

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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: 2961726831View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationUT
O B S T E T R I C S/ G Y N E C O L O G YUT
Nurse PractitionerUT
Physician AssistantNC
-UT
-UT
Physical Medicine And RehabilitationUT
Physical Medicine And RehabilitationUT
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationUT

Reviews

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Frequently asked questions

What unique ID ties claims to DR. DAVID MARC CIVITARESE (DO)?
NPI 1063048676 is assigned to DR. DAVID MARC CIVITARESE (DO) under the national enumeration system.
Does this profile mean DR. DAVID MARC CIVITARESE (DO) is currently active?
Yes — DR. DAVID MARC CIVITARESE (DO) appears active in the national provider directory.
What field does DR. DAVID MARC CIVITARESE (DO) work in?
You can think of DR. DAVID MARC CIVITARESE (DO) as practicing within Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Where is DR. DAVID MARC CIVITARESE (DO)'s primary listing?
We display Chicago, Illinois because that is what the record indicates for DR. DAVID MARC CIVITARESE (DO).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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