MARK TRAILL (MD) – Diagnostic Radiology Physician, NPI 1972555308

MARK TRAILL (MD) is a healthcare provider. based in Rockford, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 036076940 (IL). The NPI Number for MARK TRAILL (MD) is 1972555308

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
MARK TRAILL (MD)
NPI
1972555308
Phone
(888) 696-7820
Address
1401 E State St
Enumeration Date
16 May 2006
Last Update Date
2 May 2019

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7134613573
Graduation Year
1983 (43 years ago)
PAC ID
2961465273
Group Practice PAC ID
9537434386
Professional Enrollment ID
I20181108000192
Address ID
MI498553714MA420XXAVEX400
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

2,121 DIAGNOSTIC RADIOLOGY in IL

Provider Addresses for MARK TRAILL (MD)

  • 1401 E State St

    Rockford, IL 611042315

    Phone: (888) 696-7820

    Fax: (815) 636-1771

    Type: Location

  • Metro Health Hospital, 5900, Byron Center Avenue Southwest, Wyoming, Kent County, Michigan, 49519, United States

    MEDICAL ADMINISTRATION

    WYOMING, MI 495199606

    Phone: (616) 252-3243

    Fax: (616) 252-0260

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $18,731.

Total Amount is formed as General ($18,731) + Research ($0) + Ownership ($0) = $18,731.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: iCAD, Inc ($13,262).

Total Amount

$18,731

General + Research + Ownership

Payments

17

Total payment records

General Amount

$18,731

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2018-11-08

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
I20181108000192IDiagnostic RadiologyMITBD

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
77067Screening mammography467467$0
77063Screening 3d breast mammography467467$0
77065Diagnostic mammography of 1 breast4744$0
76642Limited ultrasound scan of 1 breast4039$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)3030$0
View full utilization report →

Insurance plans in this area (ZIP 61104)

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Provider's Procedures

MARK TRAILL (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL71010X-ray of chest, 1 view, front369314
DIAGNOSTIC RADIOLOGYIL71250CT scan chest5959
DIAGNOSTIC RADIOLOGYIL74177CT scan of abdomen and pelvis with contrast133129
DIAGNOSTIC RADIOLOGYIL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4846

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: 9537434386View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyFL
Diagnostic RadiologyMI
Diagnostic RadiologyOH
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyCA
Diagnostic Radiology, Interventional RadiologyPA

Reviews

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Frequently asked questions

How do payers reference MARK TRAILL (MD)?
For MARK TRAILL (MD), use NPI 1972555308 as the unique 10-digit identifier.
Is MARK TRAILL (MD) shown as active in public data?
Registry records indicate MARK TRAILL (MD) maintains an active NPI.
What kind of doctor is MARK TRAILL (MD)?
MARK TRAILL (MD) is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is MARK TRAILL (MD) located near Rockford?
MARK TRAILL (MD) currently maps to Rockford, Illinois in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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