MARK FESENMYER (MD) – Gastroenterology Physician, NPI 1992770390

MARK FESENMYER (MD) is a healthcare provider. based in Valparaiso, Indiana. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 036105597 (IL). The NPI Number for MARK FESENMYER (MD) is 1992770390

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
MARK FESENMYER (MD)
NPI
1992770390
Phone
(219) 947-6795
Address
3800 Saint Mary Rd Ste 101
Enumeration Date
20 February 2006
Last Update Date
5 May 2020

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2199454499
Graduation Year
1991 (35 years ago)
PAC ID
7416842810
Group Practice PAC ID
3678737012
Professional Enrollment ID
I20130429000622
Address ID
IN463426665HO7835XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

448 GASTROENTEROLOGY in IN

Provider Addresses for MARK FESENMYER (MD)

  • 3800 Saint Mary Rd Ste 101

    Valparaiso, IN 463833986

    Phone: (219) 947-6795

    Fax: (219) 703-6896

    Type: Location

  • 7835 Grand Blvd

    Hobart, IN 463426665

    Phone: (219) 947-6795

    Fax: (219) 703-6896

    Type: Location

  • 8895, Broadway, Merrillville, Lake County, Indiana, 46410, United States

    MERRILLVILLE, IN 464107037

    Phone: (219) 738-2081

    Fax: (219) 736-4658

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 101 Open Payments records for all available years, with a total value of $1,893.

Total Amount is formed as General ($1,893) + Research ($0) + Ownership ($0) = $1,893.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($537).

Total Amount

$1,893

General + Research + Ownership

Payments

101

Total payment records

General Amount

$1,893

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2013-04-29

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
I20130429000622IGastroenterologyINTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes190128$0
99214Established patient office or other outpatient visit, 30-39 minutes173134$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare157155$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes130128$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope9695$0
View full utilization report →

Insurance plans in this area (ZIP 46383)

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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: 3678737012View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
-IN
Nurse PractitionerIN
-IN
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyIL
Nurse PractitionerIN
-IN
Gynecological Oncology, Obstetrics/GynecologyIN
-IN
Nurse PractitionerIN

Reviews

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Frequently asked questions

Does MARK FESENMYER (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARK FESENMYER (MD) uses 1992770390.
Is MARK FESENMYER (MD) listed as active for patients and plans?
The listing shows MARK FESENMYER (MD) as active in the NPI system.
What is MARK FESENMYER (MD)'s specialty?
The listing groups MARK FESENMYER (MD) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MARK FESENMYER (MD) on a map?
Expect Valparaiso, Indiana as a primary anchor for MARK FESENMYER (MD) unless the record lists multiple sites.
Why does MARK FESENMYER (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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