DR. MARK KEVIN KIRKWOOD (D.O.) – Emergency Medicine Physician, NPI 1609142520

DR. MARK KEVIN KIRKWOOD (D.O.) is a healthcare provider. based in Blue island, Illinois. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 036.141200 (IL). The NPI Number for DR. MARK KEVIN KIRKWOOD (D.O.) is 1609142520

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK KEVIN KIRKWOOD (D.O.)
NPI
1609142520
Phone
(708) 597-2000
Address
12935 GREGORY ST
Enumeration Date
25 March 2012
Last Update Date
29 August 2016

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
2406862300
Graduation Year
2013 (13 years ago)
PAC ID
2466752209
Group Practice PAC ID
1456686278
Professional Enrollment ID
I20160818002862
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for DR. MARK KEVIN KIRKWOOD (D.O.)

  • 12935 GREGORY ST

    BLUE ISLAND, IL 604062428

    Phone: (708) 597-2000

    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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-10-19 • Largest payer in this snapshot: Inari Medical, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$19
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: 2016-08-18

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
I20160818002862IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making341320$0
99284Emergency department visit with moderate level of medical decision making6261$0
99291Critical care, first 30-74 minutes5252$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only4343$0
View full utilization report →

Insurance plans in this area (ZIP 60406)

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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: 1456686278View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. MARK KEVIN KIRKWOOD (D.O.) across health systems?
The NPI 1609142520 uniquely identifies DR. MARK KEVIN KIRKWOOD (D.O.) in U.S. healthcare data.
Does the public listing show DR. MARK KEVIN KIRKWOOD (D.O.) as active?
DR. MARK KEVIN KIRKWOOD (D.O.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. MARK KEVIN KIRKWOOD (D.O.)?
NPPES ties DR. MARK KEVIN KIRKWOOD (D.O.) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. MARK KEVIN KIRKWOOD (D.O.) tied to Blue Island, Illinois?
If you are local to Blue Island, Illinois, DR. MARK KEVIN KIRKWOOD (D.O.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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