LAWRENCE A MARK (MD) – Dermatology Physician, NPI 1720025372
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
247 DERMATOLOGY in IN
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Provider Addresses for LAWRENCE A MARK (MD)
North Shadeland Avenue, Castleton, Vertland, Indianapolis, Indiana, 46250, United States
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
IU Health University Hospital, 550, University Boulevard, Historic Ransom Place, Indianapolis, Marion, Indiana, 46202, United States
UH 3240
INDIANAPOLIS, IN 462025149
Phone: (317) 274-7741
Fax: (317) 274-7051
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $87.
Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.
Last reported payment date: 2024-03-08 • Largest payer in this snapshot: Kyowa Kirin, Inc. ($87).
Total Amount
$87
General + Research + Ownership
Payments
2
Total payment records
General Amount
$87
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kyowa Kirin, Inc. | $87 |
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: 2006-07-19
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 |
|---|---|---|---|---|
| I20060719000220 | I | Dermatology | IN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 225 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 224 | 195 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 118 | 96 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 104 | 89 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 65 | 60 | $0 |
Insurance plans in this area (ZIP 46219)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | IN | 17003 | Destruction of 2-14 skin growths | 31 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IL | |
| - | IN | |
| - | IN | |
| D E R M A T O L O G Y | IN | |
| D E R M A T O L O G Y | IN | |
| D E R M A T O L O G Y | IN | |
| - | IN |
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