DR. MARK A MUCKWAY (M.D.) – Neurology Physician, NPI 1265521652

DR. MARK A MUCKWAY (M.D.) is a healthcare provider. based in Fort wayne, Indiana. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 01039796A (IN). The NPI Number for DR. MARK A MUCKWAY (M.D.) is 1265521652

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK A MUCKWAY (M.D.)
NPI
1265521652
Phone
(260) 425-6780
Address
11104 Parkview Circle Dr Ste 110
Enumeration Date
12 October 2006
Last Update Date
12 December 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3172727519
Graduation Year
1990 (36 years ago)
PAC ID
6305039454
Group Practice PAC ID
4880505528
Professional Enrollment ID
I20101021000106
Address ID
IN461239688AV8244X1320601

Contacts

Secure Messaging
mmuckway388412@direct-PRD.stelizabeth.com
Secure Messaging
mmuckway10916@Direct.Parkviewexchange.com
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:19State licenses:1Other names

529 NEUROLOGY in IN

Provider Addresses for DR. MARK A MUCKWAY (M.D.)

  • 11104 Parkview Circle Dr Ste 110

    Fort Wayne, IN 468451673

    Phone: (260) 425-6780

    Fax: (260) 425-6615

    Type: Location

  • 100 Hospital Ln Ste 225

    Danville, IN 461221870

    Phone: (317) 718-4730

    Fax: (317) 718-4733

    Type: Location

  • 301 Satori Pkwy Ste 150

    Avon, IN 461236408

    Phone: (317) 272-3662

    Fax: (317) 272-5649

    Type: Location

  • Richard A. Roudebush VA Medical Center, 1481, West 10th Street, Indianapolis, Marion, Indiana, 46202, United States

    DEPARTMENT OF NEUROLOGY

    INDIANAPOLIS, IN 462022803

    Phone: (317) 988-2715

    Fax: (317) 988-3044

    Type: Location

  • 707 CEDAR ST STE 405

    SOUTH BEND, IN 466172059

    Phone: (574) 335-8707

    Fax: (574) 335-0741

    Type: Mailing

  • 611 E DOUGLAS RD STE 305

    MISHAWAKA, IN 465451467

    Phone: (574) 335-6450

    Fax: (574) 335-0643

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-10-21

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
I20101021000106INeurologyINTBD

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
95886Needle measurement of electrical activity in arm or leg muscles, complete study172139$0
95909Nerve conduction, 5-6 studies5858$0
95908Nerve conduction, 3-4 studies3939$0
95910Nerve conduction, 7-8 studies2222$0
95907Nerve conduction, 1-2 studies1616$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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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: 4880505528View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. MARK A MUCKWAY (M.D.) in the U.S.?
In the U.S., DR. MARK A MUCKWAY (M.D.) is identified by NPI 1265521652.
Does the public listing show DR. MARK A MUCKWAY (M.D.) as active?
DR. MARK A MUCKWAY (M.D.)'s NPI record reflects an active status in NPPES.
What services align with DR. MARK A MUCKWAY (M.D.)'s listing?
DR. MARK A MUCKWAY (M.D.)'s public classification highlights Neurology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MARK A MUCKWAY (M.D.) in Fort Wayne, Indiana?
For routing, start with Fort Wayne, Indiana for DR. MARK A MUCKWAY (M.D.), then verify phone and hours locally.
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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