DR. MARK THOMAS VERCEL (D.O.) – Internal Medicine Physician, NPI 1386902450
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
129 RHEUMATOLOGY in IN
Provider Addresses for DR. MARK THOMAS VERCEL (D.O.)
1040 SIERRA DR
SUITE 400
GREENWOOD, IN 461437240
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
761 45TH AVE
STE. 103
MUNSTER, IN 463212893
Phone: (219) 922-3002
Fax: (219) 922-3003
Type: Location
6100 S LOUISE AVE STE 1130
SIOUX FALLS, SD 571086030
Phone: (605) 504-1600
Fax: (605) 504-1601
Type: Location
761 45th Ave
Ste. 103
Munster, IN 463212893
Phone: (219) 922-3002
Fax: (219) 922-3003
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $1,329.
Total Amount is formed as General ($1,329) + Research ($0) + Ownership ($0) = $1,329.
Last reported payment date: 2024-10-05 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($1,098).
Total Amount
$1,329
General + Research + Ownership
Payments
16
Total payment records
General Amount
$1,329
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $1,098 |
| GlaxoSmithKline, LLC. | $54 |
| PFIZER INC. | $46 |
| ABBVIE INC. | $45 |
| AstraZeneca Pharmaceuticals LP | $29 |
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: 2019-11-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191107003087 | I | Rheumatology | SD | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 410 | 228 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 84 | 61 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 61 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 40 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 40 | 40 | $0 |
Insurance plans in this area (ZIP 46143)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| - | SD | |
| Internal Medicine, Hospitalist | SD | |
| - | MN | |
| Physical Therapist In Private Practice | SD | |
| - | SD | |
| Diagnostic Radiology | OK | |
| Nurse Practitioner | SD | |
| Nurse Practitioner | SD | |
| Hospice/Palliative Care | SD |
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