MR. MARK DEJESUS (O.T.) – Occupational Therapist, NPI 1225249642
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
191 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in KS
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Provider Addresses for MR. MARK DEJESUS (O.T.)
2019, Meadowlark Lane, Emporia, Lyon County, Kansas, 66801, United States
EMPORIA, KS 668016127
Phone: (620) 341-9549
Type: Mailing
2700, West 30th Avenue, Coronado Hills, Emporia, Lyon County, Kansas, 66801, United States
EMPORIA, KS 66801
Phone: (620) 343-9285
Type: Location
623 COMMERCIAL ST
EMPORIA, KS 668013901
Phone: (620) 803-1855
Fax: (620) 208-4488
Type: Mailing
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: 2022-11-04
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 |
|---|---|---|---|---|
| I20221104002396 | I | Occupational Therapist In Private Practice | KS | 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 |
|---|---|---|---|---|
| 97140 | Therapy procedure using manual technique, each 15 minutes | 1,099 | 16 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 900 | 16 | $0 |
| 97165 | Evaluation for occupational therapy, typically 30 minutes | 16 | 15 | $0 |
Insurance plans in this area (ZIP 66801)
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