JOHN MARK POOL (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1134338114
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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Profile Insights
NPPES metrics only — not quality of care.
18 CARDIAC SURGERY in DE
Provider Addresses for JOHN MARK POOL (MD)
PO BOX 3988
CARBONDALE, IL 629023988
Phone: (618) 457-5200
Type: Mailing
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE 197184409
Phone: (302) 733-1980
Fax: (302) 733-1986
Type: Location
Walnut Hill Lane, Lake Highlands, Dallas, Dallas County, Texas, 75231, United States
DALLAS, TX 752314409
Phone: (214) 692-6135
Fax: (214) 692-6265
Type: Mailing
8230 Walnut Hill Ln Ste 208
Dallas, TX 752314409
Phone: (214) 692-6135
Fax: (214) 692-6265
Type: Location
305 W Jackson St Ste 206
Carbondale, IL 629011474
Phone: (618) 457-3006
Fax: (618) 457-3007
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $6,678.
Total Amount is formed as General ($6,678) + Research ($0) + Ownership ($0) = $6,678.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Medtronic, Inc. ($5,998).
Total Amount
$6,678
General + Research + Ownership
Payments
28
Total payment records
General Amount
$6,678
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-09-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090120000055 | I | Thoracic Surgery | TX | TBD |
| I20230505001706 | I | Thoracic Surgery | MI | TBD |
| I20230901003459 | I | Thoracic Surgery | AL | TBD |
| I20231011001823 | I | Cardiac Surgery | IL | TBD |
| I20231109002569 | I | Cardiac Surgery | KS | TBD |
| I20231127001897 | I | Thoracic Surgery | IA | TBD |
| I20231228000213 | I | Cardiac Surgery | DE | TBD |
| I20250908002048 | I | Thoracic Surgery | MT | TBD |
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.
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 62902)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| THORACIC SURGERY | TX | 33518 | Combined multiple vein and artery heart artery bypasses | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | DE | |
| - | DE | |
| - | DE | |
| - | PA | |
| Internal Medicine | DE | |
| Physician Assistant | DE | |
| Nurse Practitioner | PA | |
| General Surgery | IL | |
| Diagnostic Radiology | NY | |
| Internal Medicine | NY |
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