MARK D DABAGIA (MD) – Urology Physician, NPI 1891795852
Urology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
300 UROLOGY in IN
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Provider Addresses for MARK D DABAGIA (MD)
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 468451703
Phone: (260) 266-6013
Type: Mailing
11109 PARKVIEW PLAZA DRIVE
MAILBOX 117
FORT WAYNE, IN 468451701
Phone: (260) 266-8210
Type: Mailing
2512, East Dupont Road, Fort Wayne, Allen County, Indiana, 46825, United States
SUITE 100
FORT WAYNE, IN 468251609
Phone: (260) 436-6667
Fax: (260) 469-7437
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
11141 PARKVIEW PLAZA DR STE 325
FORT WAYNE, IN 468451714
Phone: (260) 425-5400
Fax: (260) 425-5417
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $14,379.
Total Amount is formed as General ($14,379) + Research ($0) + Ownership ($0) = $14,379.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Ethicon Inc. ($11,150).
Total Amount
$14,379
General + Research + Ownership
Payments
27
Total payment records
General Amount
$14,379
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon Inc. | $11,150 |
| Intuitive Surgical, Inc. | $3,107 |
| Janssen Biotech, Inc. | $85 |
| Axonics, Inc. | $19 |
| ABBVIE INC. | $18 |
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: 2010-05-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100518000925 | I | Urology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 269 | 176 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 233 | 205 | $0 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 180 | 30 | $0 |
| J1580 | Injection, garamycin, gentamicin, up to 80 mg | 81 | 27 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 67 | 56 | $0 |
Insurance plans in this area (ZIP 46845)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Infectious Disease | IN | |
| Internal Medicine | IN | |
| - | IN |
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